Dr. Patrick Birmingham, MD

NPI: 1043477052
Total Payments
$126,434
2022 Payments
$22,819
Companies
8
Transactions
129
Medicare Patients
364
Medicare Billing
$22,663

Payment Breakdown by Category

Other$64,478 (51.0%)
Consulting$28,675 (22.7%)
Travel$15,494 (12.3%)
Royalty/License$14,000 (11.1%)
Food & Beverage$3,788 (3.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $64,478 18 51.0%
Consulting Fee $28,675 17 22.7%
Travel and Lodging $15,494 45 12.3%
Royalty or License $14,000 1 11.1%
Food and Beverage $3,788 48 3.0%

Top Paying Companies

Company Total Records Latest Year
Smith+Nephew, Inc. $72,592 75 $0 (2022)
Zimmer Biomet Holdings, Inc. $42,448 42 $0 (2018)
Medwest Associates $5,944 4 $0 (2022)
Arthrex, Inc. $2,449 4 $0 (2022)
RTI SURGICAL, INC $1,750 1 $0 (2022)
Graymont Professional Products IP, LLC $1,050 1 $0 (2019)
DePuy Synthes Sales Inc. $151.40 1 $0 (2018)
Medical Device Business Services, Inc. $51.29 1 $0 (2018)

Payment History by Year

Year Amount Transactions Top Company
2022 $22,819 18 Smith+Nephew, Inc. ($14,774)
2021 $4,031 5 Arthrex, Inc. ($2,097)
2020 $10,607 15 Smith+Nephew, Inc. ($10,607)
2019 $2,210 7 Smith+Nephew, Inc. ($1,160)
2018 $44,762 51 Zimmer Biomet Holdings, Inc. ($32,428)
2017 $42,006 33 Smith & Nephew, Inc. ($31,986)

All Payment Transactions

129 individual payment records from CMS Open Payments — Page 1 of 6

Date Company Product Nature Form Amount Type
12/21/2022 Arthrex, Inc. Travel and Lodging In-kind items and services $327.50 General
09/29/2022 RTI SURGICAL, INC Pre-Sutured Tendon (Device) Consulting Fee Cash or cash equivalent $1,750.00 General
Category: Musculoskeletal
07/02/2022 Smith+Nephew, Inc. HEALICOIL (Device), MICRORAPTOR, MICRORAPTOR Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $10,200.00 General
Category: Sports Med Hip
07/02/2022 Smith+Nephew, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $2,782.50 General
06/26/2022 Smith+Nephew, Inc. FAST-FIX (Device), ACUFEX Meniscal Root Repair, NovoStitch Food and Beverage In-kind items and services $74.92 General
Category: Sports Med Knee
06/25/2022 Smith+Nephew, Inc. FAST-FIX (Device), ACUFEX Meniscal Root Repair, NovoStitch Food and Beverage In-kind items and services $90.36 General
Category: Sports Med Knee
06/25/2022 Smith+Nephew, Inc. FAST-FIX (Device), ACUFEX Meniscal Root Repair, NovoStitch Food and Beverage In-kind items and services $71.53 General
Category: Sports Med Knee
06/17/2022 Smith+Nephew, Inc. Q-FIX (Device), MICRORAPTOR, ULTRABRAID Food and Beverage In-kind items and services $137.43 General
Category: Sports Med Hip
06/16/2022 Smith+Nephew, Inc. MICRORAPTOR (Device), ULTRABRAID, HEALICOIL Food and Beverage In-kind items and services $179.66 General
Category: Sports Med Hip
06/16/2022 Smith+Nephew, Inc. MICRORAPTOR (Device), Q-FIX, ULTRABRAID Food and Beverage In-kind items and services $157.69 General
Category: Sports Med Hip
06/15/2022 Smith+Nephew, Inc. MICRORAPTOR (Device), MICRORAPTOR, Q-FIX Travel and Lodging In-kind items and services $691.62 General
Category: Sports Med Hip
06/15/2022 Smith+Nephew, Inc. HEALICOIL (Device), MICRORAPTOR, MICRORAPTOR Travel and Lodging In-kind items and services $355.27 General
Category: Sports Med Hip
06/15/2022 Smith+Nephew, Inc. Q-FIX (Device), MICRORAPTOR, ULTRABRAID Food and Beverage In-kind items and services $32.99 General
Category: Sports Med Hip
03/25/2022 Medwest Associates Food and Beverage In-kind items and services $294.00 General
02/14/2022 Arthrex, Inc. Food and Beverage In-kind items and services $24.00 General
02/10/2022 Medwest Associates Travel and Lodging In-kind items and services $3,862.60 General
02/10/2022 Medwest Associates Travel and Lodging In-kind items and services $1,432.77 General
02/10/2022 Medwest Associates Travel and Lodging In-kind items and services $354.24 General
11/20/2021 Arthrex, Inc. BIOLOGICS CONSUMABLES CARTILAGE REPAIR BIOCARTILAGE (Device) Food and Beverage In-kind items and services $97.10 General
Category: BIOLOGICS - CONSUMABLES - CARTILAGE REPAIR - BIOCARTILAGE
08/26/2021 Arthrex, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $2,000.00 General
08/18/2021 Smith+Nephew, Inc. Q-FIX Hip (Device), CAP-FIX Food and Beverage In-kind items and services $43.47 General
Category: Sports Med Hip
03/03/2021 Smith+Nephew, Inc. ACCUPASS DIRECT Crescent XL (Device) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $1,470.00 General
Category: Sports Med Hip
03/03/2021 Smith+Nephew, Inc. ACCUPASS DIRECT Crescent XL (Device) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $420.00 General
Category: Sports Med Hip
12/15/2020 Smith+Nephew, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $1,260.00 General
12/15/2020 Smith+Nephew, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $950.00 General

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 4 125 144 $26,241 $8,018
2022 4 101 115 $18,912 $6,505
2021 3 88 93 $16,277 $5,661
2020 2 50 55 $8,503 $2,479
Total Patients
364
Total Services
407
Medicare Billing
$22,663
Procedure Codes
13

All Medicare Procedures & Services

13 procedure records from CMS Medicare Utilization

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99203 New patient office or other outpatient visit, 30-44 minutes Facility 2023 61 61 $12,630 $3,580 28.3%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2023 30 37 $5,712 $1,840 32.2%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2023 23 24 $5,501 $1,797 32.7%
20610 Aspiration and/or injection of fluid from large joint Facility 2023 11 22 $2,398 $802.00 33.4%
99203 New patient office or other outpatient visit, 30-44 minutes Facility 2022 47 47 $9,569 $2,871 30.0%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2022 25 27 $3,499 $1,441 41.2%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2022 16 16 $3,051 $1,260 41.3%
20610 Aspiration and/or injection of fluid from large joint Facility 2022 13 25 $2,793 $932.69 33.4%
99203 New patient outpatient visit, total time 30-44 minutes Facility 2021 50 50 $10,269 $2,924 28.5%
99213 Established patient outpatient visit, total time 20-29 minutes Facility 2021 25 30 $3,629 $1,646 45.4%
99214 Established patient outpatient visit, total time 30-39 minutes Facility 2021 13 13 $2,379 $1,091 45.9%
99203 New patient office or other outpatient visit, typically 30 minutes Facility 2020 34 34 $6,222 $1,620 26.0%
99213 Established patient office or other outpatient visit, typically 15 minutes Facility 2020 16 21 $2,281 $858.77 37.6%

About Dr. Patrick Birmingham, MD

Dr. Patrick Birmingham, MD is a Sports Medicine healthcare provider based in Chicago, Illinois. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/19/2008. The National Provider Identifier (NPI) number assigned to this provider is 1043477052.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Patrick Birmingham, MD has received a total of $126,434 in payments from pharmaceutical and medical device companies, with $22,819 received in 2022. These payments were reported across 129 transactions from 8 companies. The most common payment nature is "Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program" ($64,478).

As a Medicare-enrolled provider, Birmingham has provided services to 364 Medicare beneficiaries, totaling 407 services with total Medicare billing of $22,663. Data is available for 4 years (2020–2023), covering 13 distinct procedure/service records.

Practice Information

  • Specialty Sports Medicine
  • Location Chicago, IL
  • Active Since 05/19/2008
  • Last Updated 02/16/2021
  • Taxonomy Code 207XX0005X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1043477052

Products in Payments

  • Bioraptor (Device) $21,066
  • AccuFill (Device) $18,357
  • Hip Spacer (Device) $14,000
  • HEALICOIL (Device) $10,555
  • Hip Pac (Device) $7,813
  • Elite Hip Instruments (Device) $7,326
  • ACCUPASS DIRECT Crescent XL (Device) $6,818
  • BIORAPTOR Hip (Device) $6,218
  • Pre-Sutured Tendon (Device) $1,750
  • Healicoil (Device) $1,335
  • BIORAPTOR Knotless (Device) $1,050
  • True Zero Knee (Device) $1,050
  • MICRORAPTOR (Device) $1,029
  • Hipstruments (Device) $813.99
  • SPEEDLOCK HIP (Device) $709.75
  • DYONICS POWERMIN/Mini Blades (Device) $630.00
  • Q-FIX Hip (Device) $587.77
  • Q-Fix (Device) $450.60
  • Osteoraptor (Device) $335.71
  • FAST-FIX (Device) $236.81

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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