Physician

Philip S Blum, MD

According to 2025 Medicare claims, Philip Blum, MD (NPI: 1568444115) practices neurology in the Houston-Pasadena-The Woodlands, TX market, with the plurality of this provider's patient population coming from Harris, TX. This provider's primary affiliated billing organization is MHS PHYSICIANS OF TEXAS (NPI: 1184714867; TIN: 760385980) and primary practice location at 77024-2574. Blum is affiliated with the Memorial Hermann Accountable Care Organization (ACO ID: A1175), participating under the MSSP model.

Blum's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 620 traditional Medicare patients, billed 247,908 HCPCS/CPT codes, and received $4,053,564 in Medicare payments. The top billing code was 95912 (Nerve conduction, 11-12 studies). Part D data shows 1,245 prescription claims across 345 beneficiaries totaling $1,147,479 in drug costs, led by Gamunex-C (Immune Globul G/Gly/Iga Avg 46). 2023 DME data shows 26 claims. Open Payments data shows 2 records totaling $53. 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 moved sharply higher in recent years, from $392,231 to $4,053,564. Similarly, Part D prescription costs have risen steadily, from $239,670 to $1,147,479. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $18,333 and ending at $5,546.

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$2.0M$4.1M2015 Medicare payment: $392,231 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $652,181 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $681,150 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $748,977 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,300,557 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,318,863 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,341,269 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,251,394 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,368,532 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $4,053,564 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201530414,543$392,231
201644323,050$652,181
201762316,187$681,150
201859019,072$748,977
201975734,758$1,300,557
202073836,341$1,318,863
202176157,782$2,341,269
202277889,038$3,251,394
202366093,547$3,368,532
2024620247,908$4,053,564

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$574K$1.1M2015 Drug cost: $239,670 (USD; Tot_Drug_Cst)2016 Drug cost: $379,001 (USD; Tot_Drug_Cst)2017 Drug cost: $307,450 (USD; Tot_Drug_Cst)2018 Drug cost: $351,977 (USD; Tot_Drug_Cst)2019 Drug cost: $355,900 (USD; Tot_Drug_Cst)2020 Drug cost: $333,758 (USD; Tot_Drug_Cst)2021 Drug cost: $501,815 (USD; Tot_Drug_Cst)2022 Drug cost: $543,842 (USD; Tot_Drug_Cst)2023 Drug cost: $675,299 (USD; Tot_Drug_Cst)2024 Drug cost: $1,147,479 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151841,650$239,670
20162561,831$379,001
20173171,797$307,450
20183821,931$351,977
20193641,644$355,900
20203621,376$333,758
20213801,300$501,815
20223521,165$543,842
20232981,017$675,299
20243451,245$1,147,479

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$88K$175K2015 Medicare payment: $159 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $12,861 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $175,108 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R11$159
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R100$12,861
2022N/RN/RN/R
2023N/R26$175,108
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
95912Nerve conduction, 11-12 studies4949$184
95911Nerve conduction, 9-10 studies4545$175
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more165165$130
95886Needle measurement of electrical activity in arm or leg muscles, complete study120154$80
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more285338$78

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Gamunex-CImmune Globul G/Gly/Iga Avg 4641945$414,038
Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov5016448$240,235
PrivigenImmun Glob G(Igg)/Pro/Iga 0-5021588$205,760
Aimovig AutoinjectorErenumab-Aooe391,498$35,435
Carbidopa-LevodopaCarbidopa/Levodopa1277,554$2,803

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$53ABBVIE 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 Philip S. Blum, MD?

Tedicare shows public-source Medicare data for Philip S. Blum, MD (NPI 1568444115), 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 Philip S. Blum, MD have ACO affiliation data?

Philip S. Blum, MD is shown with ACO affiliation data for Memorial Hermann Accountable Care Organization (MSSP, ACO ID A1175).

What billing organization is linked to Philip S. Blum, MD?

Philip S. Blum, MD is linked to MHS PHYSICIANS OF TEXAS (billing NPI 1184714867) in the available physician profile data.

Does Philip S. Blum, MD have Open Payments data?

Philip S. Blum, MD has 2 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.