What is Theodore Addai's specialty?

Theodore Addai (NPI 1912985185) is a Medicare-billing provider whose primary specialty is Cardiology in Decatur, IL.

Where does Theodore Addai practice?

Theodore Addai practices in Decatur, IL, based on the location reported in the CMS Medicare provider datasets for NPI 1912985185.

How much does Medicare pay Theodore Addai?

Theodore Addai (NPI 1912985185) received approximately $161K in total Medicare Part B payments, serving 888 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1912985185

Theodore AddaiM.D.

CardiologyDecatur, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,914

Unique beneficiaries

—

Total services

2,237

Distinct HCPCS

Medicare payment

$148K

Peer benchmark

Total Medicare services vs. 686 Cardiology providers in IL — below median (cohort median 2,422).

PRESCRIBING · PART D · 2024

Total Rx claims

8,000

Beneficiaries

—

Total drug cost

$1.6M

Distinct drugs

Brand share

33.7%

Top prescribed drugs

Atorvastatin Calcium837 claims

Carvedilol664 claims

Sacubitril/Valsartan624 claims

Empagliflozin601 claims

Apixaban482 claims

QUALITY · MIPS · 2024

Final MIPS score

94.8

Quality

86.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.83%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$394

Payment records

By payment type

Food and Beverage$394

Top paying entities

Food and Beverage$394

REFERRAL NETWORK

Where Theodore Addai's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 91 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER	968	4,433
Bruce Linder Diagnostic Radiology · Lisle, IL	283	769
DECATUR AMBULANCE SERVICE, INC.	220	467
Hamid Sagha Emergency Medicine · Decatur, IL	176	401
Rebecca Baggett Diagnostic Radiology · Springfield, IL	148	291
Jeanne Kairouz Cardiology · Decatur, IL	141	370
Phillip Barnell Family Practice · Decatur, IL	124	231
Worlali Nutakor Emergency Medicine · Decatur, IL	117	250
Faisal Bukhari Internal Medicine · Sullivan, IL	94	625
Jignesh Modi Infectious Disease · Decatur, IL	88	207
Tatheer Zohra Internal Medicine · Decatur, IL	67	296
Muhammad Orakzai Internal Medicine · Sheboygan, WI	66	262

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events