JAMES GRUFT, MD
Pain Medicine Physician · OAKBROOK TERRACE, IL
Individual Active NPI 1417173865
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 235 | 5,879 | $522,624 | $345,461 | $262,966 |
| 2023 | 203 | 2,668 | $384,770 | $274,468 | $207,401 |
| 2022 | 206 | 2,475 | $379,659 | $276,237 | $207,096 |
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 | 1,852 | $126 | $94 |
| 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 | 1,639 | $16 | $12 |
| 96127 | Assessment of emotional or behavioral problems | 1,129 | $5 | $4 |
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 384 | $36 | $28 |
| 36415 | Insertion of needle into vein for collection of blood sample | 300 | $8 | $8 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 162 | $35 | $28 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 140 | $176 | $132 |
| 96132 | Evaluation of neuropsychological test, first hour | 84 | $126 | $100 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 70 | $217 | $174 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 39 | $38 | $38 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | $89 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ✓ | 036080153 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pain Medicine Physician providers in Illinois
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- NPI 1053508523
- NPI 1346794070
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.