ALBERT GILMAN, M.D.
Surgery Physician · DECATUR, IL
Individual Active NPI 1225094436
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 253 | 531 | $441,617 | $94,584 | $75,927 |
| 2023 | 277 | 635 | $505,819 | $117,264 | $94,283 |
| 2022 | 339 | 695 | $584,699 | $126,778 | $99,859 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 69 | $48 | $38 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 51 | $129 | $102 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | $127 | $101 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 37 | $81 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 35 | $80 | $62 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 24 | $34 | $27 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $64 | $49 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 21 | $94 | $71 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $109 | $87 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 17 | $723 | $576 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 16 | $179 | $179 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 15 | $173 | $138 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 036098200 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Illinois
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.