Physician

Paul H Nguyen, M.D.

According to 2025 Medicare claims, Paul Nguyen, M.D. (NPI: 1023017019) practices cardiology in the Elgin, IL market, with the plurality of this provider's patient population coming from De Kalb, IL. This provider's primary affiliated billing organization is ELITE CARDIOLOGY SOLUTIONS LLC (NPI: 1740428184; TIN: 263935713) and primary practice location at 60178-3180. Nguyen is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Nguyen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,312 traditional Medicare patients, billed 8,413 HCPCS/CPT codes, and received $734,225 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 1,842 prescription claims across 408 beneficiaries totaling $314,741 in drug costs, led by Eliquis (Apixaban). DME data shows 92 claims. Open Payments data shows 10 records totaling $359. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $123,417 to $314,741. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $29,242 to $68,555.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$415K$829K2015 Medicare payment: $534,917 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $636,665 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $565,231 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $637,937 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $708,743 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $829,223 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $785,399 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $664,995 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $704,925 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $734,225 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0907,735$534,917
20161,0369,009$636,665
20171,2117,944$565,231
20181,3288,930$637,937
20191,3919,175$708,743
20201,20310,345$829,223
20219919,537$785,399
20221,0258,418$664,995
20231,0628,459$704,925
20241,3128,413$734,225

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$195K$391K2015 Drug cost: $123,417 (USD; Tot_Drug_Cst)2016 Drug cost: $114,070 (USD; Tot_Drug_Cst)2017 Drug cost: $107,515 (USD; Tot_Drug_Cst)2018 Drug cost: $190,764 (USD; Tot_Drug_Cst)2019 Drug cost: $259,399 (USD; Tot_Drug_Cst)2020 Drug cost: $221,449 (USD; Tot_Drug_Cst)2021 Drug cost: $192,693 (USD; Tot_Drug_Cst)2022 Drug cost: $228,341 (USD; Tot_Drug_Cst)2023 Drug cost: $390,544 (USD; Tot_Drug_Cst)2024 Drug cost: $314,741 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152662,354$123,417
20162291,348$114,070
20171891,056$107,515
20183011,666$190,764
20193222,179$259,399
20203051,831$221,449
20213141,402$192,693
20222881,718$228,341
20233542,225$390,544
20244081,842$314,741

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$33K$66K2015 Medicare payment: $28,254 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $5,181 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $13,814 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $13,637 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $18,547 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $21,958 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $13,777 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $15,008 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $29,270 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $66,442 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201540195$28,254
201671230$5,181
2017173490$13,814
2018215463$13,637
2019217508$18,547
202055176$21,958
20211196$13,777
20225293$15,008
202343152$29,270
20242592$66,442

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function467481$111
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes300322$105
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more424971$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more349579$65
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report310583$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban17610,906$209,571
XareltoRivaroxaban363,060$54,568
EntrestoSacubitril/Valsartan14660$13,656
Propafenone HclPropafenone Hcl564,215$2,740
Enoxaparin SodiumEnoxaparin Sodium56150$2,628

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
K0606Automatic external defibrillator, with integrated electrocardiogram analysis, garment typeYN/R13$33,673
E0486Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustmentN2525$30,882
A7030Full face mask used with positive airway pressure device, eachNN/R11$804
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R12$453
A4604Tubing with integrated heating element for use with positive airway pressure deviceNN/R12$410

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.10$359Impulse Dynamics (USA) Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Paul H. Nguyen, M.D.?

Tedicare shows public-source Medicare data for Paul H. Nguyen, M.D. (NPI 1023017019), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Paul H. Nguyen, M.D. have ACO affiliation data?

Paul H. Nguyen, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Paul H. Nguyen, M.D.?

Paul H. Nguyen, M.D. is linked to ELITE CARDIOLOGY SOLUTIONS LLC (billing NPI 1740428184) in the available physician profile data.

Does Paul H. Nguyen, M.D. have Open Payments data?

Paul H. Nguyen, M.D. has 10 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.