Nurse Practitioner, Family · Chicago, IL
NPI
1427566454
Since 2018
Specialty
Nurse Practitioner, Family
Code 363LF0000X
Group practices
1
Medicare group memberships
Hospitals
2
Hospital affiliations
4947 N Winthrop Ave
Chicago, IL, 60640
Phone (773) 455-4325
Groups this clinician bills Medicare through
Medicare paid, 2024
$85K
1,540 services
Medicare patients, 2024
112
Average age 77
Drug cost, 2024
$428K
6,187 prescriptions
Company payments, 2025
$166
From 3 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Jack M Pham was code 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), 504 times for 107 patients. In total Jack M Pham billed 1,540 services in 15 codes, and Medicare paid $85K.
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2026-09-20.
| Code | Setting | Services | Patients | Paid per service | Medicare paid |
|---|---|---|---|---|---|
| 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 | Office | 504 | 107 | $10.91 | $5,498 |
| 99215 Office E&M - Established | Office | 426 | 93 | $115.22 | $49K |
| 82962 Clinical Chemistry | Office | 293 | 56 | $3.21 | $941 |
| 99214 Office E&M - Established | Office | 97 | 47 | $85.47 | $8,291 |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 82 | 82 | $113.31 | $9,291 |
| 99205 Office E&M - New | Office | 70 | 70 | $98.53 | $6,897 |
| 99442 Telephone Services | Office | 31 | 21 | $62.67 | $1,943 |
By year: 2023 $7,992 for 94 services; 2024 $85K for 1,540 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 82962 Clinical Chemistry | 293 | 56 | $3.21 | $941 |
Medicare prescription drug claims, 2024
In 2024, the drug Jack M Pham prescribed most often to Medicare patients was Atorvastatin Calcium, with 283 prescriptions and refills. In total Jack M Pham wrote 6,187 Medicare prescriptions that cost $428K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Atorvastatin Calcium Generic | 283 | 410 | 55 | $905 |
| Levocetirizine Dihydrochloride Generic | 261 | 342 | 69 | $1,755 |
| Metformin Hcl Generic | 241 | 326 | 39 | $605 |
| Omeprazole Generic | 236 | 316 | 45 | $525 |
| Tacrolimus Generic | 230 | 271 | 43 | $86K |
| Fluticasone Propionate Generic | 210 | 257 | 50 | $1,586 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 180 | 226 | 38 | $12K |
| Azelastine Hcl Generic | 179 | 224 | 42 | $2,240 |
| Amlodipine Besylate Generic | 175 | 289 | 36 | $358 |
| Tramadol Hcl Generic | 168 | 176 | 29 | $245 |
| Metoprolol Succinate Generic | 159 | 231 | 32 | $1,449 |
| Tamsulosin Hcl Generic | 134 | 195 | 27 | $861 |
| Diclofenac Sodium Generic | 130 | 181 | 43 | $2,560 |
| Tizanidine Hcl Generic | 129 | 157 | 36 | $353 |
| Fluocinonide-E Fluocinonide/Emollient Base | 126 | 143 | 28 | $12K |
Brand drugs: 672 claims; generic drugs: 5,515 claims; opioid claims: 175.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Jack M Pham $166 ($166 in general payments such as food, travel and fees) from 3 companies. The largest payer was Amgen Inc. with $92.78.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.