Physician

Daniel A Gutstein, MD

According to 2025 Medicare claims, Daniel Gutstein, MD (NPI: 1851316434) practices family practice 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 VITAL SIGNS WELLNESS, LLC (NPI: 1528538600) and primary practice location at 60804-4280. Gutstein is affiliated with the America's MDE, LLC (ACO ID: D0155), participating under the REACH model.

Gutstein's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 316 traditional Medicare patients, billed 26,790 HCPCS/CPT codes, and received $26,065,130 in Medicare payments. The top billing code was 99350 (Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes). Part D data shows 7,721 prescription claims across 149 beneficiaries totaling $538,745 in drug costs, led by Eliquis (Apixaban). DME data shows 277 claims. 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 moved sharply higher in recent years, from $85,051 to $26,065,130. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $423,627 and ending at $538,745. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $21,645 and ending at $26,959.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	151	837	$85,051
2016	178	1,059	$104,929
2017	193	1,560	$148,152
2018	197	1,695	$157,098
2019	201	1,356	$131,844
2020	174	1,066	$113,708
2021	155	1,518	$150,509
2022	145	3,620	$825,477
2023	357	13,111	$9,785,211
2024	316	26,790	$26,065,130

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	139	6,283	$423,627
2016	158	7,947	$538,541
2017	171	7,524	$601,985
2018	177	7,885	$572,877
2019	162	8,111	$512,456
2020	157	7,570	$393,137
2021	148	6,946	$375,633
2022	133	6,632	$411,951
2023	157	7,737	$612,439
2024	149	7,721	$538,745

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	30	372	$14,582
2016	31	312	$19,183
2017	35	501	$14,714
2018	32	576	$19,825
2019	25	435	$16,137
2020	N/R	324	$14,237
2021	11	278	$11,687
2022	N/R	222	$9,766
2023	57	288	$61,253
2024	N/R	277	$15,735

* / # = 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
99350	Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	143	454	$146
99487	Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	136	226	$101
99497	Advance care planning, first 30 minutes	119	190	$64
99489	Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	116	201	$57
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	187	960	$48

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	100	2,990	$55,164
Xarelto	Rivaroxaban	37	1,789	$34,365
Linzess	Linaclotide	35	1,260	$22,521
Nurtec Odt	Rimegepant Sulfate	27	432	$21,826
Rybelsus	Semaglutide	22	690	$19,997

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	19	$8,173
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	41	$2,511
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	49	$2,262
K0003	Lightweight wheelchair	Y	N/R	11	$452
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	29	$427

Open Payments Summary

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

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FAQ

What Medicare data is available for Daniel A. Gutstein, MD?

Tedicare shows public-source Medicare data for Daniel A. Gutstein, MD (NPI 1851316434), 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 Daniel A. Gutstein, MD have ACO affiliation data?

Daniel A. Gutstein, MD is shown with ACO affiliation data for America's MDE, LLC (REACH, ACO ID D0155).

What billing organization is linked to Daniel A. Gutstein, MD?

Daniel A. Gutstein, MD is linked to VITAL SIGNS WELLNESS, LLC (billing NPI 1528538600) in the available physician profile data.

Does Daniel A. Gutstein, MD 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.