AMMAR DIVAN, MD
Pain Medicine (Anesthesiology) Physician · BLOOMINGDALE, IL
Individual Active NPI 1588977557
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 308 | 4,066 | $1,155,522 | $289,269 | $226,069 |
| 2023 | 90 | 643 | $127,889 | $42,056 | $33,157 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,445 | $0 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 853 | $0 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 389 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 218 | $94 | $73 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 179 | $172 | $129 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 118 | $246 | $192 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 115 | $126 | $100 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 77 | $289 | $222 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 68 | $452 | $355 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 67 | $247 | $197 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 58 | $126 | $94 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 51 | $53 | $39 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ✓ | 036123274 | IL |
| Anesthesiology Physician | 207L00000X | 036123274 | IL | |
| Anesthesiology Physician | 207L00000X | 0101247908 | VA | |
| Anesthesiology Physician | 207L00000X | D71131 | MD | |
| Anesthesiology Physician | 207L00000X | 068143 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pain Medicine (Anesthesiology) Physician providers in Illinois
- NPI 1285338830
- NPI 1194771741
- NPI 1881215606
- NPI 1629115258
- NPI 1710818273
- NPI 1891059101
- NPI 1497203475
- NPI 1316042245
See all Pain Medicine (Anesthesiology) Physician providers in Illinois →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.