Physician

Albert F Gilman, M.D.

According to 2025 Medicare claims, Albert Gilman, M.D. (NPI: 1225094436) practices general surgery in the Decatur, IL market, with the plurality of this provider's patient population coming from Macon, IL. This provider's primary affiliated billing organization is DECATUR MEMORIAL HOSPITAL (NPI: 1164477725; TIN: 370661199) and primary practice location at 62526-4163.

Gilman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 253 traditional Medicare patients, billed 531 HCPCS/CPT codes, and received $75,927 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 201 prescription claims across 168 beneficiaries totaling $6,951 in drug costs, led by Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates). DME data shows 82 claims. Open Payments data shows 1 records totaling $22. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,366 and ending at $6,951. For DME billing, reported payments fell sharply in recent years, from $38,053 to $10,971.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	271	1,141	$95,158
2016	316	1,366	$99,169
2017	314	1,737	$109,756
2018	302	1,303	$96,542
2019	299	1,183	$86,913
2020	171	443	$48,576
2021	121	274	$38,813
2022	339	695	$99,859
2023	277	635	$94,283
2024	253	531	$75,927

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	104	137	$5,366
2016	112	161	$4,869
2017	108	151	$4,023
2018	101	125	$4,238
2019	92	122	$5,215
2020	58	76	$2,473
2021	66	80	$4,422
2022	183	214	$12,720
2023	172	224	$9,042
2024	168	201	$6,951

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	65	146	$24,654
2016	50	191	$20,396
2017	42	176	$19,342
2018	79	207	$22,507
2019	122	214	$33,970
2020	11	25	$1,765
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	36	$3,153
2024	N/R	82	$5,557

* / # = 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	51	51	$102
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$101
99221	Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	37	37	$64
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$62
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	38	69	$38

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	87	122	$5,837
Tramadol Hcl	Tramadol Hcl	71	405	$177
Peg 3350-Electrolyte	Sodium Chloride/Nahco3/Kcl/Peg	12	13	$140

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
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	18	$2,279
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	15	$1,635
A4425	Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each	N	N/R	19	$1,377
A5120	Skin barrier, wipes or swabs, each	N	N/R	18	$219
A4371	Ostomy skin barrier, powder, per oz	N	N/R	12	$47

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$22	Mirati Therapeutics, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Albert F. Gilman, M.D.?

Tedicare shows public-source Medicare data for Albert F. Gilman, M.D. (NPI 1225094436), 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 Albert F. Gilman, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Albert F. Gilman, M.D.?

Albert F. Gilman, M.D. is linked to DECATUR MEMORIAL HOSPITAL (billing NPI 1164477725) in the available physician profile data.

Does Albert F. Gilman, M.D. have Open Payments data?

Albert F. Gilman, M.D. has 1 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.