ANDREW HIGGINS, MD
Urology Physician · HIGHLAND PARK, IL
Individual Active NPI 1215466487
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 449 | 1,190 | $334,325 | $123,086 | $93,485 |
| 2023 | 203 | 302 | $167,978 | $43,074 | $32,950 |
| 2022 | 34 | 43 | $46,722 | $7,324 | $5,839 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 236 | $99 | $75 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 137 | $17 | $13 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 127 | $109 | $83 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 78 | $51 | $40 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 77 | $17 | $13 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 60 | $137 | $91 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 52 | $24 | $19 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $143 | $95 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 39 | $82 | $62 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | $136 | $108 |
| 51741 | Electronic assessment of bladder emptying | 31 | $8 | $6 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 26 | $434 | $346 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 036165515 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in Illinois
- NPI 1881074078
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- NPI 1720122005
- NPI 1881126092
- NPI 1699137794
- NPI 1336670918
- NPI 1285628305
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.