Active NPI 1003836446 Individual Practitioner Female Practitioner

Dr. Benedicta Umoru , MD

Internal Medicine • Fairview Heights, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Benedicta Umoru, MD is a certified Internal Medicine practicing in Fairview Heights, IL. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Umoru delivers high-quality medical care to the local community at 5032 N ILLINOIS ST.

Dr. Umoru accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5032 N Illinois St
Ste B

Fairview Heights, IL 622083415

Telephone 6184169005

Fax 6186419452

Associated Practice Facility / Clinic

🏢 Heartland Medical Center Llc Facility NPI 1912927351

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fairview Heights, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -9.3 yrs vs City Avg

City Avg: 43.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Fairview Heights, IL (7544 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

31.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Umoru (34 Years) 34 Yrs

Fairview Heights Specialty Average (43.3 Years) 43.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	16	$150.00	$103.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	209	63	$195.00	$121.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	37	$140.00	$80.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	19	$150.00	$103.29
99239 Hospital discharge day management, more than 30 minutes	65	48	$240.00	$116.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	45	$290.00	$177.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	331	85	$195.00	$104.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	152	70	$140.00	$72.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	78	$290.00	$202.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	25	$150.00	$102.22
99239 Hospital discharge day management, more than 30 minutes	100	78	$240.00	$106.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	265	94	$195.00	$106.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	46	$127.46	$103.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	41	$140.00	$74.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	65	$290.00	$206.34
99239 Hospital discharge day management, more than 30 minutes	81	63	$240.00	$108.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	611	196	$195.00	$107.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	268	123	$140.00	$74.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	52	$120.00	$89.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	194	152	$290.00	$210.20
99239 Hospital discharge day management, more than 30 minutes	194	145	$240.00	$110.21
99238 Hospital discharge day management, 30 minutes or less	39	32	$165.00	$75.40
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$100.00	$60.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	602	225	$195.00	$107.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	332	159	$140.00	$75.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	265	208	$290.00	$208.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	75	$120.00	$109.23
99239 Hospital discharge day management, more than 30 minutes	203	160	$240.00	$109.34
99238 Hospital discharge day management, 30 minutes or less	82	74	$165.00	$74.79
99213 Established patient office or other outpatient visit, typically 15 minutes	49	34	$100.00	$74.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	18	$290.00	$141.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	984	206	$140.00	$72.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	81	$120.00	$104.22
99238 Hospital discharge day management, 30 minutes or less	260	177	$165.00	$72.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	234	169	$290.00	$201.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	54	$195.00	$103.36
99213 Established patient office or other outpatient visit, typically 15 minutes	62	35	$100.00	$70.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$240.00	$136.33
99239 Hospital discharge day management, more than 30 minutes	13	13	$240.00	$105.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	851	192	$140.00	$68.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	90	$120.00	$99.58
99238 Hospital discharge day management, 30 minutes or less	238	164	$165.00	$68.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	203	157	$290.00	$193.90
99213 Established patient office or other outpatient visit, typically 15 minutes	105	56	$100.00	$67.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	31	$240.00	$131.38

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036100162

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036100162 (IL)

Commercial Insurance / Payer ID Rr Medicare

P00248272

Commercial Insurance / Payer ID Bcbs Il

08232145

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2016

Registered at 5032 N ILLINOIS ST, STE B, FAIRVIEW HEIGHTS, IL 622083415 (Tel: 6184169005)

📍

Updated Business Mailing Address May 13, 2016

Registered at PO BOX 2015, FAIRVIEW HEIGHTS, IL 622080215 (Tel: 6183559970)

👤

Provider Name / Credentials Updated May 13, 2016

Recorded as BENEDICTA UMORU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2016

Internal Medicine (License #036100162 in IL)

🟢

Initial NPI Registration & Enumeration July 20, 2006

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: 1003836446

Entity Type:

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

Enumeration Date: July 20, 2006

Last Update: May 13, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 2015

Fairview Heights, IL 622080215

Phone: 6183559970

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.