BRIAN BLUMENSTEIN, MD
Gastroenterology Physician · OAK LAWN, IL
Individual Active NPI 1194784645
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 479 | 9,263 | $1,109,723 | $318,940 | $251,934 |
| 2023 | 524 | 4,414 | $830,533 | $214,931 | $168,748 |
| 2022 | 534 | 6,009 | $874,530 | $251,949 | $197,991 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 7,500 | $22 | $17 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 137 | $81 | $63 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 107 | $132 | $98 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 98 | $102 | $78 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 83 | $266 | $219 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 75 | $133 | $104 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 63 | $174 | $123 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 51 | $136 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 46 | $94 | $60 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 31 | $193 | $193 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 25 | $64 | $51 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 25 | $116 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 036082788 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.