Active NPI 1912171364 Individual Practitioner Female Practitioner

Dr. Andrea Diane Birnbaum , MD, PhD

Ophthalmology • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Birnbaum, MD, PhD is a certified Ophthalmology practicing in Chicago, IL. With approximately 21 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2005, Dr. Birnbaum delivers high-quality medical care to the local community at 1718 W WOLFRAM ST.

Dr. Birnbaum is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1718 W Wolfram St

Chicago, IL 606576882

Telephone 7732482071

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -1.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

322 Specialists

Practicing in Chicago, IL (954 Statewide)

Telehealth Adoption Rate

1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birnbaum (21 Years) 21 Yrs

Chicago Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	163	158	$381.00	$130.41
92134 Imaging of retina	99	85	$266.00	$42.03
99213 Established patient office or other outpatient visit, typically 15 minutes	85	75	$219.00	$96.74
92133 Imaging of optic nerve	65	63	$266.00	$37.89
92004 New patient complete exam of visual system	45	45	$459.00	$154.63
92083 Exam of visual field with extended testing	31	31	$282.00	$65.93
92201 Extended exam of the back part of the eye with retinal drawing	21	16	$135.00	$26.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$132.00	$60.35
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$136.00	$28.39
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$345.00	$90.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	99	$219.00	$96.05
92014 Established patient complete exam of visual system	100	97	$381.00	$131.61
92134 Imaging of retina	65	58	$266.00	$42.19
92133 Imaging of optic nerve	62	57	$266.00	$38.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	37	$323.00	$135.73
92083 Exam of visual field with extended testing	32	31	$282.00	$65.45
92004 New patient complete exam of visual system	31	31	$459.00	$155.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$132.00	$60.22
92201 Extended exam of the back part of the eye with retinal drawing	24	21	$135.00	$25.91
65855 Laser repair to improve eye fluid flow	19	17	$2505.26	$320.81
92020 Examination of cornea and iris using lens device and slit lamp	16	15	$136.00	$28.77
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$326.00	$90.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	88	$219.00	$97.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	51	$323.00	$137.27
92134 Imaging of retina	64	57	$266.00	$42.93
92133 Imaging of optic nerve	40	38	$266.00	$39.03
92014 Established patient complete exam of visual system	38	38	$381.00	$133.34
92201 Extended exam of the back part of the eye with retinal drawing	29	21	$135.00	$26.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$132.00	$61.26
92083 Exam of visual field with extended testing	19	17	$282.00	$66.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$330.00	$122.78
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$312.00	$109.39
92004 New patient complete exam of visual system	16	16	$459.00	$158.38
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$136.00	$29.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$505.00	$182.52
76514 Ultrasound scan of cornea to determine thickness	14	14	$100.00	$12.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	55	$219.00	$98.62
92134 Imaging of retina	55	53	$266.00	$43.38
92012 Established patient problem focused exam of visual system	45	39	$263.00	$95.73
92014 Established patient complete exam of visual system	41	39	$381.00	$134.62
92133 Imaging of optic nerve	35	34	$266.00	$39.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	23	$323.00	$139.83
92004 New patient complete exam of visual system	31	31	$459.00	$159.25
92201 Extended exam of the back part of the eye with retinal drawing	29	24	$135.00	$26.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$330.00	$122.09
92083 Exam of visual field with extended testing	17	17	$282.00	$67.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$505.00	$182.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$132.00	$60.41
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$136.00	$29.59
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$312.00	$110.01
76514 Ultrasound scan of cornea to determine thickness	11	11	$100.00	$12.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	106	95	$381.00	$132.04
92012 Established patient problem focused exam of visual system	68	55	$263.00	$93.33
92004 New patient complete exam of visual system	43	43	$459.00	$155.50
92134 Imaging of retina	31	29	$266.00	$43.56
92133 Imaging of optic nerve	29	29	$266.00	$39.49
92083 Exam of visual field with extended testing	16	15	$282.00	$67.72
76514 Ultrasound scan of cornea to determine thickness	14	13	$100.00	$12.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$217.00	$78.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	105	75	$263.00	$93.10
92014 Established patient complete exam of visual system	91	78	$381.00	$132.28
92004 New patient complete exam of visual system	40	40	$459.00	$159.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	36	$217.00	$76.84
92134 Imaging of retina	28	26	$266.00	$42.23
92225 Examination of eye by ophthalmoscope with retinal drawing	18	17	$131.11	$32.22
92133 Imaging of optic nerve	17	17	$266.00	$38.80
92002 New patient problem focused exam of visual system	14	14	$250.00	$83.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	104	86	$381.00	$131.65
92012 Established patient problem focused exam of visual system	76	61	$263.00	$91.34
92004 New patient complete exam of visual system	60	60	$459.00	$157.53
92134 Imaging of retina	31	28	$266.00	$43.26
92225 Examination of eye by ophthalmoscope with retinal drawing	27	25	$131.11	$31.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$217.00	$77.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	72	67	$381.00	$128.88
92012 Established patient problem focused exam of visual system	67	57	$263.00	$88.85
92004 New patient complete exam of visual system	34	34	$459.00	$154.74
92134 Imaging of retina	20	20	$266.00	$41.67
92225 Examination of eye by ophthalmoscope with retinal drawing	17	17	$118.00	$27.92

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036.122825

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

259 E Erie, Chicago, IL 606112987

Phone: 3126958150

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2012

Registered at 1718 W WOLFRAM ST, CHICAGO, IL 606576882 (Tel: 7732482071)

📍

Updated Business Mailing Address March 13, 2012

Registered at 1718 W WOLFRAM ST, CHICAGO, IL 606576882 (Tel: 7732482071)

👤

Provider Name / Credentials Updated March 13, 2012

Recorded as ANDREA BIRNBAUM, MD, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2012

Ophthalmology (License #036.122825 in IL)

🟢

Initial NPI Registration & Enumeration April 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912171364

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2008

Last Update: March 13, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1718 W Wolfram St

Chicago, IL 606576882

Phone: 7732482071

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.