CRAIG CUMMINS, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · BARRINGTON, IL
Individual Active NPI 1588650006
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 748 | 6,781 | $2,152,689 | $461,637 | $348,301 |
| 2023 | 747 | 5,426 | $2,093,078 | $465,698 | $357,491 |
| 2022 | 652 | 3,638 | $1,862,439 | $442,760 | $336,310 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 3,312 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 770 | $91 | $67 |
| 20610 | Aspiration and/or injection of fluid from large joint | 689 | $74 | $53 |
| 73030 | X-ray of shoulder, minimum of 2 views | 408 | $37 | $27 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 210 | $127 | $94 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 198 | $112 | $72 |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 156 | $510 | $402 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 93 | $115 | $84 |
| 73221 | Mri scan of arm joint without contrast | 85 | $145 | $104 |
| 73564 | X-ray of knee, 4 or more views | 82 | $54 | $37 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 70 | $170 | $122 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 48 | $57 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 036-101852 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Illinois
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See all Sports Medicine (Orthopaedic Surgery) Physician providers in Illinois →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.