Physician

James A Rowley, MD

According to 2025 Medicare claims, James Rowley, MD (NPI: 1184662207) practices sleep medicine in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is RUSH UNIVERSITY MEDICAL GROUP (NPI: 1093819542; TIN: 91-1780160) and primary practice location at 60612-3808. Rowley is affiliated with the CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under the REACH model.

Rowley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 309 traditional Medicare patients, billed 532 HCPCS/CPT codes, and received $35,364 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 179 prescription claims across 58 beneficiaries totaling $140,767 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 841 claims. No Open Payments records. 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 fallen sharply in recent years, from $91,443 to $35,364. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $286,264 and ending at $140,767. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $75,418 and ending at $93,315.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	613	1,324	$91,443
2016	601	1,402	$99,181
2017	639	1,671	$121,711
2018	661	1,797	$121,623
2019	664	1,744	$119,527
2020	492	1,418	$101,780
2021	407	1,148	$82,115
2022	365	1,066	$76,001
2023	299	523	$36,294
2024	309	532	$35,364

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	53	444	$286,264
2016	72	633	$330,552
2017	72	545	$210,467
2018	79	555	$179,746
2019	86	637	$150,976
2020	116	964	$279,222
2021	130	1,142	$311,122
2022	161	1,869	$585,178
2023	145	1,401	$454,121
2024	58	179	$140,767

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	936	2,112	$67,055
2016	918	2,282	$70,043
2017	986	2,452	$67,003
2018	796	1,933	$55,835
2019	853	1,810	$53,656
2020	728	2,023	$91,363
2021	534	1,389	$62,483
2022	393	1,108	$62,930
2023	289	833	$56,544
2024	361	841	$86,546

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$93
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	41	41	$86
95810	Sleep study in sleep lab (6 years or older)	64	64	$85
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	97	$76
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	67	71	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	12	360	$7,010
Albuterol Sulfate Hfa	Albuterol Sulfate	26	747	$938
Gabapentin	Gabapentin	12	480	$158
Clonazepam	Clonazepam	19	525	$90
Zolpidem Tartrate	Zolpidem Tartrate	14	290	$29

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	43	$40,904
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	Y	N/R	12	$12,253
E0601	Continuous positive airway pressure (cpap) device	Y	40	176	$6,014
A7031	Face mask interface, replacement for full face mask, each	N	27	55	$4,613
A7030	Full face mask used with positive airway pressure device, each	N	27	55	$4,075

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for James A. Rowley, MD?

Tedicare shows public-source Medicare data for James A. Rowley, MD (NPI 1184662207), 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 James A. Rowley, MD have ACO affiliation data?

James A. Rowley, MD is shown with ACO affiliation data for CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to James A. Rowley, MD?

James A. Rowley, MD is linked to RUSH UNIVERSITY MEDICAL GROUP (billing NPI 1093819542) in the available physician profile data.

Does James A. Rowley, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.