Physician

Amy Halverson, MD

According to 2025 Medicare claims, Amy Halverson, MD (NPI: 1568498186) practices colorectal surgery (formerly proctology) 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 NORTHWESTERN MEDICAL FACULTY FOUNDATION (NPI: 1346235314; TIN: 363097297) and primary practice location at 60611-2908. Halverson is affiliated with the Northwestern Medicine Physician Network ACO (ACO ID: A2620), participating under the MSSP model.

Halverson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 153 traditional Medicare patients, billed 319 HCPCS/CPT codes, and received $79,436 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 154 prescription claims across 45 beneficiaries totaling $4,941 in drug costs, led by Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl). DME data shows 546 claims. Open Payments data shows 1 records totaling $138. 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 up and down with repeated peaks and valleys, starting at $64,540 and ending at $79,436. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,502 and ending at $4,941. In contrast, DME billing represents a smaller volume and rose steadily, from $605 to $1,223.

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$48K$96K2015 Medicare payment: $64,540 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $56,032 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $69,031 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $95,777 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $66,883 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $45,942 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $51,326 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $50,436 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $62,824 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $79,436 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015120266$64,540
2016116255$56,032
2017116269$69,031
2018191381$95,777
2019153279$66,883
2020111200$45,942
2021125266$51,326
2022111239$50,436
2023131256$62,824
2024153319$79,436

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$5.1K$10K2015 Drug cost: $3,502 (USD; Tot_Drug_Cst)2016 Drug cost: $3,137 (USD; Tot_Drug_Cst)2017 Drug cost: $4,396 (USD; Tot_Drug_Cst)2018 Drug cost: $3,662 (USD; Tot_Drug_Cst)2019 Drug cost: $1,871 (USD; Tot_Drug_Cst)2020 Drug cost: $1,258 (USD; Tot_Drug_Cst)2021 Drug cost: $1,327 (USD; Tot_Drug_Cst)2022 Drug cost: $10,213 (USD; Tot_Drug_Cst)2023 Drug cost: $3,044 (USD; Tot_Drug_Cst)2024 Drug cost: $4,941 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153397$3,502
201632114$3,137
201733138$4,396
201863238$3,662
201934151$1,871
202028127$1,258
20213398$1,327
202242149$10,213
202346140$3,044
202445154$4,941

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$27K$54K2015 Medicare payment: $15,682 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,052 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $11,324 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $19,382 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $26,585 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $29,696 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $38,041 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $47,997 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $53,776 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $52,444 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R278$15,682
2016N/R174$14,052
2017N/R126$11,324
201850316$19,382
201915358$26,585
202025359$29,696
202155451$38,041
2022113587$47,997
2023113619$53,776
202494546$52,444

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2424$105
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2428$78
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more1919$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2637$49
46600Diagnostic exam of anus using an endoscope3543$31

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl1112$177
Neomycin SulfateNeomycin Sulfate3241$153
MetronidazoleMetronidazole3658$92
Ondansetron OdtOndansetron2736$61

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachN2081$11,217
A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, eachN1453$9,655
A4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, eachNN/R37$7,551
A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), eachN1159$4,863
A4419Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), eachNN/R33$4,286

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$138Medical Device Business Services, 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 Amy Halverson, MD?

Tedicare shows public-source Medicare data for Amy Halverson, MD (NPI 1568498186), 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 Amy Halverson, MD have ACO affiliation data?

Amy Halverson, MD is shown with ACO affiliation data for Northwestern Medicine Physician Network ACO (MSSP, ACO ID A2620).

What billing organization is linked to Amy Halverson, MD?

Amy Halverson, MD is linked to NORTHWESTERN MEDICAL FACULTY FOUNDATION (billing NPI 1346235314) in the available physician profile data.

Does Amy Halverson, MD have Open Payments data?

Amy Halverson, MD 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.