Active NPI 1295850766 Individual Practitioner Male Practitioner

Dr. David Selwyn Sager , MD

Specialist • Des Plaines, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Sager, MD is a certified Specialist practicing in Des Plaines, IL. With approximately 53 years of clinical experience since graduating from Illinois Medical College in 1973, Dr. Sager delivers high-quality medical care to the local community at 150 N RIVER RD.

Dr. Sager is affiliated with Rheumatic Disease Center Physicians Sc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered), injection, tocilizumab, 1 mg, injection, infliximab, excludes biosimilar, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 N River Rd

Des Plaines, IL 600161272

Telephone 8472988470

Fax 8472986819

Associated Practice Facility / Clinic

🏢 Primary Care North, Sc Facility NPI 1659327179

Medicare Profile & Education

Medical School

Illinois Medical College

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Des Plaines, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +9.5 yrs vs City Avg

City Avg: 43.5 Yrs

State Avg: 38.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Des Plaines, IL (1322 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sager (53 Years) 53 Yrs

Des Plaines Specialty Average (43.5 Years) 43.5 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
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	94,004	25	$7.25	$4.55
J3262 Injection, tocilizumab, 1 mg	38,600	11	$9.00	$5.91
J1745 Injection, infliximab, excludes biosimilar, 10 mg	12,360	37	$50.00	$31.43
J0897 Injection, denosumab, 1 mg	8,751	86	$30.00	$25.58
J1010 Injection, methylprednisolone acetate, 1 mg	1,160	19	$0.91	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,083	423	$175.02	$123.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	868	382	$35.00	$15.73
J7050 Infusion, normal saline solution, 250 cc	844	69	$5.00	$0.65
36415 Insertion of needle into vein for collection of blood sample	832	391	$3.02	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	781	381	$10.40	$7.57
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	779	385	$4.75	$4.17
86140 Measurement C-reactive protein for detection of infection or inflammation	774	383	$7.34	$5.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	755	129	$65.04	$13.65
83735 Magnesium level	747	378	$9.01	$6.53
80053 Blood test, comprehensive group of blood chemicals	746	378	$14.14	$10.29
82610 Cystatin c (enzyme inhibitor) level	739	376	$19.00	$18.05
82306 Vitamin d-3 level	713	372	$41.67	$28.97
96415 Administration of chemotherapy into vein, each additional hour	612	57	$150.00	$26.13
J2919 Injection, methylprednisolone sodium succinate, 5 mg	610	12	$0.88	$0.28
86235 Measurement of antibody for assessment of autoimmune disorder, any method	605	98	$27.00	$17.43
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	391	205	$100.00	$60.02
G2252 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	347	159	$50.00	$25.18
96413 Infusion of chemotherapy into a vein up to 1 hour	346	57	$325.00	$121.99
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	210	152	$100.00	$45.82
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	149	107	$100.00	$81.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	138	30	$5.00	$0.99
86431 Rheumatoid factor level	128	107	$8.04	$5.56
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	127	29	$102.00	$59.42
83516 Analysis of substance using immunoassay technique	121	98	$16.34	$11.21
86225 Measurement of dna antibody, native or double stranded	118	96	$19.45	$13.47
86160 Measurement of complement (immune system proteins), antigen,	112	37	$17.01	$11.76
77085 Bone density measurement using dedicated x-ray machine	104	98	$90.00	$49.20
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	100	26	$37.00	$18.95
73120 X-ray of hand, 2 views	88	45	$41.00	$30.17
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	84	57	$80.00	$59.91
99437 Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month	57	49	$100.00	$57.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$200.00	$160.24
73030 X-ray of shoulder, minimum of 2 views	49	26	$50.00	$33.28
20610 Aspiration and/or injection of fluid from large joint	47	30	$97.00	$58.70
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	47	47	$100.00	$58.88
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	46	40	$65.00	$45.39
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	45	12	$60.00	$26.01
73560 X-ray of knee, 1-2 views	41	28	$42.00	$32.66
84550 Uric acid level, blood	36	32	$5.03	$4.43
72110 X-ray of lower and sacral spine, minimum of 4 views	34	34	$78.00	$49.14
73221 Mri scan of arm joint without contrast	32	21	$493.00	$136.17
99424 Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month.	29	25	$100.00	$79.67
82550 Creatine kinase (cardiac enzyme) level, total	26	24	$15.00	$6.38
20600 Aspiration and/or injection of fluid from small joint	22	15	$73.00	$45.74
72202 X-ray of joint between lower spine and hip bone, 3 or more views	21	21	$54.00	$37.09
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	19	11	$1200.00	$684.70
G0008 Administration of influenza virus vaccine	18	17	$48.00	$33.70
73502 X-ray of hip, 2-3 views	18	11	$100.00	$45.26
72050 X-ray of upper spine, 4 or 5 views	18	17	$160.00	$50.72
73630 X-ray of foot, minimum of 3 views	15	14	$75.00	$32.78
90653 Vaccine for influenza for injection into muscle	15	15	$137.00	$78.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	72,400	19	$7.25	$4.92
J3111 Injection, romosozumab-aqqg, 1 mg	16,800	12	$13.21	$9.97
J1745 Injection, infliximab, excludes biosimilar, 10 mg	13,190	37	$50.00	$33.10
J1602 Injection, golimumab, 1 mg, for intravenous use	9,257	13	$25.00	$13.30
J0897 Injection, denosumab, 1 mg	7,745	78	$29.07	$23.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,044	395	$175.00	$132.86
36415 Insertion of needle into vein for collection of blood sample	851	371	$3.02	$2.96
J7050 Infusion, normal saline solution, 250 cc	814	63	$5.00	$0.64
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	791	362	$4.74	$4.18
82610 Cystatin c (enzyme inhibitor) level	784	357	$19.00	$18.15
83735 Magnesium level	784	357	$8.96	$6.57
80053 Blood test, comprehensive group of blood chemicals	783	357	$14.12	$10.35
86140 Measurement C-reactive protein for detection of infection or inflammation	779	359	$7.33	$5.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	779	361	$10.40	$7.61
82306 Vitamin d-3 level	741	353	$41.66	$29.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	685	119	$65.00	$14.64
96415 Administration of chemotherapy into vein, each additional hour	579	46	$150.00	$29.41
86235 Measurement of antibody for assessment of autoimmune disorder, any method	561	98	$27.00	$17.57
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	329	321	$139.67	$64.18
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	328	167	$100.00	$88.31
96413 Infusion of chemotherapy into a vein up to 1 hour	325	47	$325.00	$136.41
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	314	192	$99.94	$65.05
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	148	114	$102.70	$48.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	33	$5.00	$1.07
99437 Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month	126	85	$100.79	$62.30
86431 Rheumatoid factor level	119	109	$8.04	$5.56
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	119	25	$102.40	$66.90
83516 Analysis of substance using immunoassay technique	112	98	$16.34	$11.30
86225 Measurement of dna antibody, native or double stranded	111	98	$19.45	$13.47
86160 Measurement of complement (immune system proteins), antigen,	102	38	$17.01	$11.76
77085 Bone density measurement using dedicated x-ray machine	101	98	$90.00	$53.54
73120 X-ray of hand, 2 views	98	51	$41.00	$32.88
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	85	21	$37.00	$21.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$200.00	$175.31
73560 X-ray of knee, 1-2 views	54	35	$42.00	$35.98
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$155.00	$94.66
20610 Aspiration and/or injection of fluid from large joint	46	36	$97.00	$63.46
72110 X-ray of lower and sacral spine, minimum of 4 views	45	44	$78.00	$53.50
73030 X-ray of shoulder, minimum of 2 views	40	26	$50.00	$36.30
73221 Mri scan of arm joint without contrast	34	28	$493.00	$149.85
84550 Uric acid level, blood	30	27	$5.03	$4.43
72202 X-ray of joint between lower spine and hip bone, 3 or more views	25	24	$54.00	$41.10
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	23	17	$1200.00	$704.04
99424 Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month.	23	16	$100.00	$84.55
73502 X-ray of hip, 2-3 views	22	16	$100.00	$49.03
82550 Creatine kinase (cardiac enzyme) level, total	18	16	$15.00	$6.38
73630 X-ray of foot, minimum of 3 views	17	17	$75.00	$35.96
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	15	13	$80.00	$63.98
20600 Aspiration and/or injection of fluid from small joint	15	11	$73.00	$52.57
99425 Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month	13	11	$80.00	$60.57
J1030 Injection, methylprednisolone acetate, 40 mg	13	13	$12.00	$7.48
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	12	$112.50	$74.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$225.00	$186.88
G0008 Administration of influenza virus vaccine	11	11	$48.00	$32.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	61,200	16	$10.03	$5.64
J3111 Injection, romosozumab-aqqg, 1 mg	20,162	17	$13.21	$9.45
J1745 Injection, infliximab, excludes biosimilar, 10 mg	14,040	42	$85.78	$35.93
J0897 Injection, denosumab, 1 mg	6,960	71	$25.00	$21.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,044	416	$175.05	$134.16
36415 Insertion of needle into vein for collection of blood sample	904	404	$3.03	$2.96
J7050 Infusion, normal saline solution, 250 cc	896	68	$5.00	$0.66
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	835	398	$4.75	$4.21
86140 Measurement C-reactive protein for detection of infection or inflammation	827	393	$7.34	$5.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	810	389	$10.40	$7.67
83735 Magnesium level	804	390	$8.98	$6.62
82610 Cystatin c (enzyme inhibitor) level	803	390	$19.00	$18.28
80053 Blood test, comprehensive group of blood chemicals	803	389	$14.13	$10.42
86235 Measurement of antibody for assessment of autoimmune disorder, any method	786	131	$26.97	$17.67
82306 Vitamin d-3 level	766	383	$41.67	$29.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	656	106	$65.00	$15.11
96415 Administration of chemotherapy into vein, each additional hour	613	54	$229.36	$31.13
96413 Infusion of chemotherapy into a vein up to 1 hour	362	54	$325.00	$147.13
83516 Analysis of substance using immunoassay technique	158	131	$16.36	$11.37
86225 Measurement of dna antibody, native or double stranded	156	130	$19.52	$13.55
86160 Measurement of complement (immune system proteins), antigen,	148	46	$17.01	$11.86
86431 Rheumatoid factor level	144	127	$8.09	$5.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	143	32	$5.00	$1.16
99213 Established patient office or other outpatient visit, typically 15 minutes	139	117	$155.00	$96.68
73120 X-ray of hand, 2 views	119	58	$42.71	$33.53
77085 Bone density measurement using dedicated x-ray machine	110	105	$109.73	$54.05
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	107	23	$104.08	$72.39
73560 X-ray of knee, 1-2 views	86	49	$45.23	$36.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$200.00	$178.72
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	53	13	$37.00	$22.29
20610 Aspiration and/or injection of fluid from large joint	48	38	$98.63	$68.15
72110 X-ray of lower and sacral spine, minimum of 4 views	45	44	$78.00	$54.95
73030 X-ray of shoulder, minimum of 2 views	40	27	$56.80	$37.14
73221 Mri scan of arm joint without contrast	38	27	$493.00	$155.64
73502 X-ray of hip, 2-3 views	31	18	$138.71	$50.38
84550 Uric acid level, blood	31	26	$5.03	$4.45
72202 X-ray of joint between lower spine and hip bone, 3 or more views	24	24	$54.00	$42.21
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	23	18	$1708.70	$758.77
20600 Aspiration and/or injection of fluid from small joint	22	17	$73.00	$53.97
G0008 Administration of influenza virus vaccine	21	21	$48.00	$31.03
73630 X-ray of foot, minimum of 3 views	18	18	$75.00	$37.02
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$75.00	$70.25
71046 X-ray of chest, 2 views	14	12	$100.00	$24.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	49,600	13	$13.00	$7.20
J1745 Injection, infliximab, excludes biosimilar, 10 mg	14,150	42	$126.00	$41.89
J0897 Injection, denosumab, 1 mg	6,660	67	$25.00	$20.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	913	378	$175.03	$137.27
36415 Insertion of needle into vein for collection of blood sample	885	372	$3.02	$3.00
J7050 Infusion, normal saline solution, 250 cc	852	67	$5.00	$0.69
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	823	374	$4.76	$4.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	799	370	$10.40	$7.76
86140 Measurement C-reactive protein for detection of infection or inflammation	764	359	$7.36	$5.17
83735 Magnesium level	751	357	$9.03	$6.69
82610 Cystatin c (enzyme inhibitor) level	751	357	$19.01	$18.50
80053 Blood test, comprehensive group of blood chemicals	750	357	$14.14	$10.55
82306 Vitamin d-3 level	674	354	$41.69	$29.56
96415 Administration of chemotherapy into vein, each additional hour	664	53	$325.00	$33.14
86235 Measurement of antibody for assessment of autoimmune disorder, any method	562	99	$27.00	$17.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	483	92	$65.00	$15.03
96413 Infusion of chemotherapy into a vein up to 1 hour	389	64	$325.00	$157.10
99213 Established patient office or other outpatient visit, typically 15 minutes	212	147	$155.00	$97.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	155	33	$5.00	$1.28
86160 Measurement of complement (immune system proteins), antigen,	128	36	$17.01	$12.00
77085 Bone density measurement using dedicated x-ray machine	121	116	$125.00	$55.97
73120 X-ray of hand, 2 views	120	59	$41.00	$33.12
83516 Analysis of substance using immunoassay technique	114	100	$16.34	$11.53
86225 Measurement of dna antibody, native or double stranded	112	98	$19.45	$13.74
86431 Rheumatoid factor level	101	96	$8.04	$5.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$200.00	$178.67
73620 X-ray of foot, 2 views	60	28	$41.00	$29.88
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	59	13	$37.00	$23.40
73560 X-ray of knee, 1-2 views	58	37	$42.00	$36.82
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	52	16	$139.67	$77.78
20610 Aspiration and/or injection of fluid from large joint	47	38	$97.00	$69.05
73030 X-ray of shoulder, minimum of 2 views	38	24	$50.00	$36.80
84550 Uric acid level, blood	36	30	$5.03	$4.42
73221 Mri scan of arm joint without contrast	32	22	$493.00	$166.95
G0008 Administration of influenza virus vaccine	24	23	$48.00	$17.93
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	23	22	$30.65	$29.91
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$78.00	$54.19
20600 Aspiration and/or injection of fluid from small joint	23	17	$73.00	$47.90
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	21	18	$2100.00	$751.41
72202 X-ray of joint between lower spine and hip bone, 3 or more views	17	17	$54.00	$41.84
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	15	11	$40.00	$35.71
73502 X-ray of hip, 2-3 views	13	11	$180.00	$49.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	15,260	51	$126.00	$52.67
J0897 Injection, denosumab, 1 mg	6,960	73	$25.00	$19.59
J7050 Infusion, normal saline solution, 250 cc	961	76	$5.00	$0.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	938	382	$175.00	$110.47
36415 Insertion of needle into vein for collection of blood sample	884	374	$2.99	$2.96
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	820	371	$4.76	$4.24
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	769	368	$10.40	$7.70
96415 Administration of chemotherapy into vein, each additional hour	768	68	$325.00	$32.24
86140 Measurement C-reactive protein for detection of infection or inflammation	730	362	$7.37	$5.14
83735 Magnesium level	703	361	$9.06	$6.65
82610 Cystatin c (enzyme inhibitor) level	703	361	$18.70	$18.25
80053 Blood test, comprehensive group of blood chemicals	702	361	$14.15	$10.48
82306 Vitamin d-3 level	674	358	$41.69	$29.40
86235 Measurement of antibody for assessment of autoimmune disorder, any method	577	109	$27.00	$17.61
96413 Infusion of chemotherapy into a vein up to 1 hour	494	78	$325.00	$150.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	379	88	$65.00	$15.12
99213 Established patient office or other outpatient visit, typically 15 minutes	267	181	$155.00	$76.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	172	37	$5.00	$1.47
73120 X-ray of hand, 2 views	140	67	$41.00	$32.35
83516 Analysis of substance using immunoassay technique	116	109	$16.43	$11.34
86225 Measurement of dna antibody, native or double stranded	114	107	$19.75	$13.50
86160 Measurement of complement (immune system proteins), antigen,	112	37	$17.65	$11.78
86431 Rheumatoid factor level	98	96	$8.18	$5.60
77085 Bone density measurement using dedicated x-ray machine	84	84	$125.00	$56.51
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	69	11	$37.00	$22.96
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	69	11	$60.00	$32.99
20610 Aspiration and/or injection of fluid from large joint	64	48	$97.00	$67.06
73560 X-ray of knee, 1-2 views	51	33	$42.00	$35.66
73221 Mri scan of arm joint without contrast	51	38	$493.00	$168.62
73030 X-ray of shoulder, minimum of 2 views	49	30	$50.00	$35.32
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	47	46	$30.64	$27.92
G0008 Administration of influenza virus vaccine	45	44	$48.00	$17.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$340.00	$224.74
73620 X-ray of foot, 2 views	39	20	$41.00	$29.70
84550 Uric acid level, blood	31	26	$5.03	$4.51
72110 X-ray of lower and sacral spine, minimum of 4 views	30	30	$78.00	$51.42
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	25	20	$2100.00	$747.90
73502 X-ray of hip, 2-3 views	22	17	$180.00	$48.01
72202 X-ray of joint between lower spine and hip bone, 3 or more views	18	18	$54.00	$40.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$233.21	$149.74
20605 Aspiration and/or injection of medium joint or joint capsule	14	11	$83.00	$55.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	15,670	51	$126.00	$67.81
J0897 Injection, denosumab, 1 mg	6,120	64	$25.00	$18.48
36415 Insertion of needle into vein for collection of blood sample	1,007	416	$2.99	$2.88
J7050 Infusion, normal saline solution, 250 cc	996	77	$5.00	$0.61
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	961	421	$4.81	$4.16
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	930	416	$10.40	$8.42
86140 Measurement C-reactive protein for detection of infection or inflammation	930	415	$7.43	$5.60
83735 Magnesium level	920	413	$9.16	$7.25
80053 Blood test, comprehensive group of blood chemicals	918	413	$14.20	$11.44
82610 Cystatin c (enzyme inhibitor) level	909	407	$18.20	$17.72
96415 Administration of chemotherapy into vein, each additional hour	871	70	$325.00	$32.05
82306 Vitamin d-3 level	814	407	$41.74	$32.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	778	373	$175.00	$113.74
86235 Measurement of antibody for assessment of autoimmune disorder, any method	732	129	$27.00	$19.04
96413 Infusion of chemotherapy into a vein up to 1 hour	512	78	$325.00	$148.16
99213 Established patient office or other outpatient visit, typically 15 minutes	441	245	$155.00	$77.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	287	78	$65.00	$17.38
83516 Analysis of substance using immunoassay technique	147	128	$16.46	$12.25
86225 Measurement of dna antibody, native or double stranded	146	128	$19.85	$14.58
73120 X-ray of hand, 2 views	142	71	$41.00	$30.62
86431 Rheumatoid factor level	126	119	$8.26	$6.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	26	$5.00	$1.56
86160 Measurement of complement (immune system proteins), antigen,	114	48	$18.90	$12.44
20610 Aspiration and/or injection of fluid from large joint	88	63	$98.77	$62.87
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	87	84	$30.34	$26.66
77085 Bone density measurement using dedicated x-ray machine	87	85	$125.00	$56.43
G0008 Administration of influenza virus vaccine	86	83	$48.00	$17.33
73560 X-ray of knee, 1-2 views	79	51	$43.76	$33.94
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	56	11	$37.00	$22.54
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	55	11	$60.00	$32.77
73221 Mri scan of arm joint without contrast	54	41	$493.00	$165.92
72110 X-ray of lower and sacral spine, minimum of 4 views	49	49	$78.00	$53.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$343.25	$215.34
73030 X-ray of shoulder, minimum of 2 views	47	30	$50.00	$31.67
73620 X-ray of foot, 2 views	44	22	$41.00	$28.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	41	$225.00	$150.08
84550 Uric acid level, blood	38	28	$5.03	$4.92
73502 X-ray of hip, 2-3 views	28	24	$180.00	$44.85
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	26	22	$2100.00	$1208.76
72202 X-ray of joint between lower spine and hip bone, 3 or more views	20	20	$54.00	$36.46
73718 Mri scan of leg without contrast	15	14	$493.00	$201.31
71046 X-ray of chest, 2 views	15	14	$100.00	$21.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	24,000	11	$10.00	$7.83
J1745 Injection, infliximab, excludes biosimilar, 10 mg	14,360	55	$126.00	$81.60
J0897 Injection, denosumab, 1 mg	4,860	51	$25.06	$17.90
36415 Insertion of needle into vein for collection of blood sample	1,046	413	$3.04	$2.88
J7050 Infusion, normal saline solution, 250 cc	996	81	$5.00	$0.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	943	405	$10.39	$9.32
96415 Administration of chemotherapy into vein, each additional hour	907	78	$325.00	$32.70
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	896	411	$4.83	$4.26
83735 Magnesium level	814	393	$9.27	$8.05
80053 Blood test, comprehensive group of blood chemicals	814	393	$14.23	$12.67
82610 Cystatin c (enzyme inhibitor) level	808	393	$18.22	$17.67
86140 Measurement C-reactive protein for detection of infection or inflammation	752	390	$7.48	$6.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	372	$175.03	$112.35
82306 Vitamin d-3 level	632	370	$41.78	$35.48
96413 Infusion of chemotherapy into a vein up to 1 hour	509	81	$325.00	$149.66
99213 Established patient office or other outpatient visit, typically 15 minutes	475	249	$155.00	$76.55
86235 Measurement of antibody for assessment of autoimmune disorder, any method	411	81	$27.00	$21.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	216	65	$49.91	$21.43
73120 X-ray of hand, 2 views	153	78	$43.67	$29.80
20610 Aspiration and/or injection of fluid from large joint	113	82	$98.38	$64.04
73560 X-ray of knee, 1-2 views	96	62	$50.69	$32.22
83520 Measurement of substance using immunoassay technique	96	32	$75.00	$16.39
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	86	11	$10.00	$4.43
86225 Measurement of dna antibody, native or double stranded	82	81	$19.87	$16.43
77085 Bone density measurement using dedicated x-ray machine	82	81	$125.00	$59.70
83516 Analysis of substance using immunoassay technique	80	79	$16.48	$13.96
86160 Measurement of complement (immune system proteins), antigen,	78	30	$18.86	$14.14
G0008 Administration of influenza virus vaccine	76	75	$48.00	$21.31
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	73	72	$30.21	$23.28
86431 Rheumatoid factor level	71	71	$8.33	$6.76
73221 Mri scan of arm joint without contrast	62	43	$493.00	$174.72
J1200 Injection, diphenhydramine hcl, up to 50 mg	62	12	$45.00	$0.58
73030 X-ray of shoulder, minimum of 2 views	62	40	$52.19	$30.86
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	60	12	$37.00	$22.86
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	57	12	$60.00	$33.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	53	53	$345.89	$220.76
73620 X-ray of foot, 2 views	49	25	$50.39	$27.61
73502 X-ray of hip, 2-3 views	41	32	$180.00	$41.66
72110 X-ray of lower and sacral spine, minimum of 4 views	35	35	$87.31	$51.23
86200 Measurement of antibody for rheumatoid arthritis assessment	32	32	$18.29	$15.17
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	31	24	$2100.00	$795.29
84550 Uric acid level, blood	31	28	$5.03	$4.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$225.00	$153.36
72202 X-ray of joint between lower spine and hip bone, 3 or more views	20	19	$63.50	$34.52
72052 X-ray of upper spine, 6 or more views	13	13	$123.92	$58.52
73718 Mri scan of leg without contrast	11	11	$493.00	$236.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	24,000	15	$10.00	$7.33
J1745 Injection, infliximab, excludes biosimilar, 10 mg	16,062	58	$126.00	$83.89
J0897 Injection, denosumab, 1 mg	4,980	54	$25.00	$16.60
36415 Insertion of needle into vein for collection of blood sample	1,120	447	$3.03	$2.88
J7050 Infusion, normal saline solution, 250 cc	1,047	82	$5.00	$0.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,000	439	$10.40	$10.11
96415 Administration of chemotherapy into vein, each additional hour	987	82	$325.00	$28.88
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	962	440	$4.81	$4.62
80053 Blood test, comprehensive group of blood chemicals	887	419	$14.19	$13.57
83735 Magnesium level	883	418	$9.15	$8.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	855	401	$175.12	$109.24
86140 Measurement C-reactive protein for detection of infection or inflammation	837	418	$7.44	$6.91
82610 Cystatin c (enzyme inhibitor) level	764	394	$18.19	$17.68
82306 Vitamin d-3 level	669	396	$41.75	$39.45
86235 Measurement of antibody for assessment of autoimmune disorder, any method	558	103	$27.00	$23.83
96413 Infusion of chemotherapy into a vein up to 1 hour	547	84	$325.00	$140.52
99213 Established patient office or other outpatient visit, typically 15 minutes	464	270	$155.00	$74.17
83520 Measurement of substance using immunoassay technique	215	74	$97.79	$17.40
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	205	12	$10.00	$4.24
73120 X-ray of hand, 2 views	204	101	$43.00	$26.29
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	158	63	$175.00	$76.07
20610 Aspiration and/or injection of fluid from large joint	125	87	$97.00	$64.07
86225 Measurement of dna antibody, native or double stranded	108	103	$19.45	$18.47
73620 X-ray of foot, 2 views	104	51	$43.21	$25.94
73560 X-ray of knee, 1-2 views	104	68	$42.00	$31.40
77085 Bone density measurement using dedicated x-ray machine	102	102	$124.33	$56.87
83516 Analysis of substance using immunoassay technique	92	88	$16.34	$15.50
86431 Rheumatoid factor level	92	90	$8.12	$7.54
86160 Measurement of complement (immune system proteins), antigen,	90	29	$17.01	$16.13
73221 Mri scan of arm joint without contrast	85	61	$493.00	$169.94
86200 Measurement of antibody for rheumatoid arthritis assessment	73	73	$18.23	$17.33
72110 X-ray of lower and sacral spine, minimum of 4 views	71	66	$80.30	$49.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	70	70	$342.23	$214.07
73502 X-ray of hip, 2-3 views	63	49	$180.00	$42.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	29	$30.00	$25.73
73030 X-ray of shoulder, minimum of 2 views	52	34	$50.00	$29.59
J1200 Injection, diphenhydramine hcl, up to 50 mg	51	14	$45.00	$0.62
84550 Uric acid level, blood	48	38	$5.03	$3.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	43	$225.00	$142.13
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	42	12	$37.00	$18.98
72202 X-ray of joint between lower spine and hip bone, 3 or more views	39	39	$58.87	$32.64
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	34	25	$2100.00	$861.44
73600 X-ray of ankle, 2 views	28	17	$41.00	$30.33
G0008 Administration of influenza virus vaccine	24	24	$48.00	$26.42
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	23	23	$30.00	$23.57
72052 X-ray of upper spine, 6 or more views	21	21	$93.00	$56.74
86255 Screening test for antibody to noninfectious agent	20	18	$17.26	$16.20
73718 Mri scan of leg without contrast	17	17	$493.00	$231.32
20600 Aspiration and/or injection of fluid from small joint	16	15	$73.00	$48.51
89060 Crystal identification from tissue or body fluid	14	13	$14.00	$9.61

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036-49863

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Rheumatic Disease Center Physicians Sc

150 N River Rd, Des Plaines, IL 600161272

Phone: 8478000998