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Physician

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According to 2025 Medicare claims, NPI 1487757258 (NPI: 1487757258) practices mass immunization roster billers, with the plurality of this provider's patient population coming from Clay, IL. 1487757258 uses personal NPI as billing NPI and primary practice location at 62839-1300.

1487757258's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 104 traditional Medicare patients, billed 288 HCPCS/CPT codes, and received $21,387 in Medicare payments. The top billing code was 91320 (Sarscv2 vac 30mcg trs-suc im). 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 risen steadily, from $9,481 to $21,387. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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.

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$11K$21K2015 Medicare payment: $9,481 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $5,729 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $11,984 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $12,850 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $15,086 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $15,949 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $14,501 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $13,721 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $15,476 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $21,387 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015145306$9,481
201685172$5,729
2017142310$11,984
2018149330$12,850
2019168382$15,086
2020196423$15,949
2021191381$14,501
2022147320$13,721
202397261$15,476
2024104288$21,387

Part D Events Trend

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

No connected Part D records

No connected Part D records

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
91320Sarscv2 vac 30mcg trs-suc im5152$152
90662Influenza vaccine split virus, preservative free7373$82
90480Admn sarscov2 vacc 1 dose5253$41
G0008Administration of influenza virus vaccine8585$30

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

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

Open Payments Summary

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

FAQ

What Medicare data is available for NPI 1487757258?

Tedicare shows public-source Medicare data for NPI 1487757258 (NPI 1487757258), 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 NPI 1487757258 have ACO affiliation data?

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

What billing organization is linked to NPI 1487757258?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does NPI 1487757258 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.