Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 12 | 914 | 1,814 | $410,438 | $177,005 |
| 2022 | 13 | 892 | 1,857 | $443,581 | $202,954 |
| 2021 | 15 | 1,047 | 2,120 | $495,120 | $235,421 |
| 2020 | 17 | 1,257 | 2,964 | $533,236 | $221,917 |
All Medicare Procedures & Services
57 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2023 | 30 | 222 | $133,200 | $58,432 | 43.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 297 | 536 | $77,720 | $30,707 | 39.5% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 165 | 305 | $61,996 | $27,028 | 43.6% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 170 | 383 | $41,210 | $22,980 | 55.8% |
| 90966 | Home dialysis services per month (20 years or older) | Office | 2023 | 11 | 69 | $41,400 | $15,347 | 37.1% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 53 | 53 | $15,582 | $6,627 | 42.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 44 | 44 | $9,900 | $4,657 | 47.0% |
| 90935 | Hemodialysis procedure with physician evaluation | Facility | 2023 | 44 | 63 | $6,300 | $3,459 | 54.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 49 | 64 | $6,400 | $3,423 | 53.5% |
| 90945 | Dialysis procedure including 1 evaluation | Facility | 2023 | 13 | 36 | $10,188 | $2,352 | 23.1% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 18 | 19 | $6,042 | $1,929 | 31.9% |
| 81001 | Manual urinalysis test with examination using microscope, automated | Office | 2023 | 20 | 20 | $500.00 | $62.20 | 12.4% |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2022 | 35 | 239 | $143,400 | $65,617 | 45.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 270 | 495 | $71,775 | $39,396 | 54.9% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 149 | 320 | $64,144 | $24,990 | 39.0% |
| 90966 | Home dialysis services per month (20 years or older) | Office | 2022 | 13 | 97 | $58,200 | $22,565 | 38.8% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 161 | 356 | $37,500 | $19,541 | 52.1% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 62 | 62 | $18,228 | $9,429 | 51.7% |
| 90935 | Hemodialysis procedure with physician evaluation | Facility | 2022 | 51 | 98 | $9,800 | $5,537 | 56.5% |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | Office | 2022 | 17 | 18 | $10,800 | $4,159 | 38.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 63 | 77 | $7,700 | $4,115 | 53.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 31 | 31 | $6,975 | $3,603 | 51.7% |
| 90945 | Dialysis procedure including 1 evaluation | Facility | 2022 | 18 | 42 | $11,886 | $2,806 | 23.6% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 11 | 11 | $2,898 | $1,161 | 40.1% |
| 81001 | Manual urinalysis test with examination using microscope, automated | Office | 2022 | 11 | 11 | $275.00 | $34.45 | 12.5% |
About Dr. David Rosborough, MD
Dr. David Rosborough, MD is a Nephrology healthcare provider based in Peoria, Illinois. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 03/06/2007. The National Provider Identifier (NPI) number assigned to this provider is 1619007275.
As a Medicare-enrolled provider, Rosborough has provided services to 4,110 Medicare beneficiaries, totaling 8,755 services with total Medicare billing of $837,297. Data is available for 4 years (2020–2023), covering 57 distinct procedure/service records.
Practice Information
- Specialty Nephrology
- Other Specialties Hypertension Specialist
- Location Peoria, IL
- Active Since 03/06/2007
- Last Updated 01/08/2024
- Taxonomy Code 207RN0300X
- Entity Type Individual
- NPI Number 1619007275
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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