Physician

Clifford Kavinsky, M.D.

According to 2025 Medicare claims, Clifford Kavinsky, M.D. (NPI: 1336165612) practices adult congenital heart disease 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 LOYOLA UNIVERSITY MEDICAL CENTER (NPI: 1336159961; TIN: 364015560) and primary practice location at 60450-1463. Kavinsky is affiliated with the Lahey Clinical Performance ACO (ACO ID: A1490), participating under the MSSP model.

Kavinsky's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 309 traditional Medicare patients, billed 552 HCPCS/CPT codes, and received $68,797 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 125 prescription claims across 51 beneficiaries totaling $15,618 in drug costs, led by Metoprolol Succinate (Metoprolol Succinate). 2016 DME data shows 120 claims. Open Payments data shows 66 records totaling $62,561. 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 $166,834 to $68,797. Similarly, Part D prescription costs have fallen sharply in recent years, from $121,027 to $15,618. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	739	1,536	$166,834
2016	999	1,944	$197,454
2017	659	1,466	$190,862
2018	549	1,138	$167,548
2019	443	947	$141,099
2020	335	772	$123,431
2021	329	769	$117,362
2022	344	774	$94,610
2023	230	381	$52,835
2024	309	552	$68,797

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	204	1,914	$121,027
2016	189	1,719	$134,594
2017	203	1,626	$186,329
2018	226	1,586	$210,634
2019	218	1,330	$130,154
2020	222	1,259	$130,224
2021	201	1,185	$144,706
2022	214	1,331	$170,617
2023	162	878	$150,748
2024	51	125	$15,618

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	120	$58,853
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	56	56	$167
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	81	$99
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	62	$66
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	48	48	$10
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	67	74	$7

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Metoprolol Succinate	Metoprolol Succinate	17	959	$256

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	53	$19,055	Medical Device Business Services, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	13	$43,506	Rush University Medical Center
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 Clifford Kavinsky, M.D.?

Tedicare shows public-source Medicare data for Clifford Kavinsky, M.D. (NPI 1336165612), 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 Clifford Kavinsky, M.D. have ACO affiliation data?

Clifford Kavinsky, M.D. is shown with ACO affiliation data for Lahey Clinical Performance ACO (MSSP, ACO ID A1490).

What billing organization is linked to Clifford Kavinsky, M.D.?

Clifford Kavinsky, M.D. is linked to LOYOLA UNIVERSITY MEDICAL CENTER (billing NPI 1336159961) in the available physician profile data.

Does Clifford Kavinsky, M.D. have Open Payments data?

Clifford Kavinsky, M.D. has 66 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.