Active NPI 1053595538 Individual Practitioner Male Practitioner

Dr. Paul E Loethen , MD

Surgery • Shiloh, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Paul Loethen, MD is a certified Surgery practicing in Shiloh, IL. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Loethen delivers high-quality medical care to the local community at 1414 CROSS STREET.

Dr. Loethen maintains professional affiliations with Hshs Medical Group Inc, Lincoln Surgical Associates, Ltd. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital inpatient care per day, 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

1414 Cross Street
Suite 330

Shiloh, IL 622692998

Telephone 6182777400

Fax 6182777422

Associated Practice Facility / Clinic

🏢 Lincoln Surgical Group Facility NPI 1700962271

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shiloh, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +0.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Shiloh, IL (1624 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Loethen (22 Years) 22 Yrs

Shiloh Specialty Average (21.1 Years) 21.1 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	173	81	$100.00	$47.41
99221 Initial hospital inpatient care per day, typically 30 minutes	102	99	$280.00	$80.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	84	$145.00	$51.38
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$240.00	$83.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$445.00	$158.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$300.00	$105.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$340.00	$120.83
10005 Fine needle aspiration of first lesion using ultrasound guidance	13	13	$335.00	$70.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2800.00	$322.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	143	68	$100.00	$50.57
99221 Initial hospital inpatient care per day, typically 30 minutes	86	85	$280.00	$84.85
99213 Established patient office or other outpatient visit, typically 15 minutes	72	63	$240.00	$87.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	45	$145.00	$53.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$398.33	$165.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$340.00	$126.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$2600.00	$769.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$273.75	$111.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	215	91	$100.00	$39.24
99221 Initial hospital inpatient care per day, typically 30 minutes	92	87	$280.00	$102.83
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$240.00	$90.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	52	$145.00	$55.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$356.77	$169.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$240.00	$113.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$340.00	$123.06
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$2600.00	$785.12
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$2800.00	$342.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$235.00	$66.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	223	97	$100.00	$38.95
99221 Initial hospital inpatient care per day, typically 30 minutes	88	85	$280.00	$104.22
99213 Established patient office or other outpatient visit, typically 15 minutes	68	58	$193.01	$90.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$115.34	$53.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$350.00	$165.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$240.00	$114.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$276.67	$125.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2600.00	$760.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$370.00	$138.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$235.00	$73.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	283	107	$100.00	$40.79
99221 Initial hospital inpatient care per day, typically 30 minutes	106	101	$259.95	$106.81
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$160.00	$73.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$350.00	$167.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$100.00	$36.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$240.00	$109.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$250.00	$109.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$370.00	$142.45
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$2640.63	$809.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	188	91	$99.92	$40.37
99221 Initial hospital inpatient care per day, typically 30 minutes	63	63	$159.52	$105.02
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$155.87	$73.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$358.31	$140.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$240.50	$108.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$353.60	$165.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$246.70	$105.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$99.05	$44.49
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2600.00	$767.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$197.67	$74.21
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$586.36	$91.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	66	$147.94	$72.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	57	$330.97	$140.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	36	$173.90	$74.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$238.06	$107.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$362.98	$166.57
76937 Ultrasonic guidance for blood vessel access	30	28	$85.30	$14.87
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	29	27	$111.00	$19.33
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$4778.96	$366.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$235.36	$107.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$488.33	$207.99
47562 Removal of gallbladder using an endoscope	18	18	$3165.51	$674.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$95.22	$40.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$457.57	$210.05

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	83	30	$169.14	$73.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	54	$227.97	$106.69
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$143.50	$72.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	52	$323.21	$140.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$353.88	$165.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	24	$92.45	$40.30
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	21	$108.43	$18.90
76937 Ultrasonic guidance for blood vessel access	17	17	$82.35	$14.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$474.81	$207.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$443.80	$198.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$232.33	$109.02
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$4928.57	$336.69

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036122761

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 125048399

Hospital & Practice Group Affiliations

Lincoln Surgical Associates, Ltd.

1414 Cross St, Shiloh, IL 622692941

Phone: 6182777400

Hshs Medical Group Inc

9515 Holy Cross Lane, Breese, IL 622303618

Phone: 6185264511

Hshs Medical Group Inc

12860 Troxler Ave, Highland, IL 622492806

Phone: 6186512810

Hshs Medical Group Inc

9409 Holy Cross Lane, Breese, IL 622303510

Phone: 6185268430

Hshs Medical Group Inc

1512 N Green Mount Rd, Ofallon, IL 622691953

Phone: 6186245510

Hshs Medical Group Inc

1900 E Lake Shore Dr, Decatur, IL 625213848

Phone: 2174232889

Hshs Medical Group Inc

12866 Troxler Ave, Highland, IL 622492806

Phone: 6186512600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Dr. Deirdre Hart , MD

Colon & Rectal Surgery

NPI 1033408489

Doctor of Medicine (M.D.)

Dr. Bernard Szopa , MD

Surgery

NPI 1164480877

Doctor of Medicine (M.D.)

Dr. Scott Schwiesow , MD

Surgery

NPI 1164834024

Doctor of Medicine (M.D.)

Dr. Michael Pulsipher , DO

Surgery

NPI 1366061731

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Luong , MD

Surgery

NPI 1376713826

Doctor of Medicine (M.D.)

Dr. Elizabeth Renaker-Jansen , DO

Plastic Surgery

NPI 1427204965

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location March 20, 2024

Registered at 1414 CROSS STREET, SUITE 330, SHILOH, IL 622692998 (Tel: 6182777400)

📍

Updated Business Mailing Address March 20, 2024

Registered at 1414 CROSS STREET, SUITE 330, SHILOH, IL 622692998 (Tel: 6182777400)

👤

Provider Name / Credentials Updated March 20, 2024

Recorded as PAUL LOETHEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2024

Surgery (License #036122761 in IL)

✅

NPI Profile Active October 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2014

Registered at 2 SAINT ANTHONYS WAY, SUITE 305, ALTON, IL 620024569 (Tel: 6184658019)

📍

Updated Business Mailing Address October 02, 2014

Registered at 2 SAINT ANTHONYS WAY, SUITE 305, ALTON, IL 620024569 (Tel: 6184658019)

👤

Provider Name / Credentials Updated October 02, 2014

Recorded as PAUL LOETHEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2014

Surgery (License #125048399 in IL)

🟢

Initial NPI Registration & Enumeration December 20, 2007

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: 1053595538

Entity Type:

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

Enumeration Date: December 20, 2007

Last Update: March 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1414 Cross Street, Suite 330

Shiloh, IL 622692998

Phone: 6182777400

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.