JOHN ALBERT, MD
Rheumatology Physician · GLENDALE, WI
Individual Active NPI 1861428070
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 247 | 136,593 | $7,242,703 | $2,337,929 | $1,856,029 |
| 2023 | 244 | 155,051 | $7,147,043 | $2,640,355 | $2,101,991 |
| 2022 | 251 | 185,008 | $6,591,164 | $3,134,854 | $2,496,481 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 20,635 | $11 | $9 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 16,840 | $31 | $25 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 6,775 | $42 | $33 |
| J0897 | Injection, denosumab, 1 mg | 3,240 | $26 | $20 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 591 | $120 | $95 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 356 | $8 | $8 |
| 96415 | Administration of chemotherapy into vein, each additional hour | 355 | $25 | $20 |
| 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 | 351 | $15 | $12 |
| 85651 | Red blood cell sedimentation rate, to detect inflammation, non-automated | 345 | $4 | $4 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 344 | $5 | $5 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 332 | $84 | $62 |
| 82565 | Blood creatinine level | 290 | $5 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 39779 | WI |
| Emergency Medicine Physician | 207P00000X | 39779 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Rheumatology Physician providers in Wisconsin
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- NPI 1104001098
- NPI 1588695738
- NPI 1750316345
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.