ADAM KLUGMAN, MD
Gastroenterology Physician · NAPERVILLE, IL
Individual Active NPI 1588630669
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 553 | 1,310 | $722,291 | $165,521 | $133,373 |
| 2023 | 552 | 1,439 | $745,058 | $159,355 | $127,038 |
| 2022 | 561 | 1,809 | $827,019 | $171,840 | $134,903 |
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 | 173 | $129 | $95 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 102 | $173 | $122 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 79 | $148 | $121 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 70 | $94 | $60 |
| 36415 | Insertion of needle into vein for collection of blood sample | 69 | $9 | $9 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 68 | $6 | $5 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 62 | $71 | $54 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 59 | $243 | $205 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 40 | $80 | $64 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 38 | $8 | $8 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 37 | $37 | $29 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | $133 | $102 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 036083302 | 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.