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NPI 1003389503 · Aurora, IL · Nurse Practitioner
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Edita Danaiata is a nurse practitioner provider located in Aurora, Illinois. This profile covers 5 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Edita Danaiata |
| Address | 1256 Waterford Dr |
| City | Aurora |
| State | IL |
| ZIP | 60504 |
| Taxonomy | Nurse Practitioner |
| NPI Enumerated | January 7, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $25K |
| Medicaid | $2.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 280 | $60 | $16.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 40 | $90 | $3.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 50 | $40 | $2K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 290 | $10 | $1.4K |
| G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets… | 230 | $10 | $1.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 40 | $50 | $1.9K |
| 85610 | Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze… | 90 | $1 | $280 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 12,334 | 14,680 | 300 | $50 | $48.7K |
| 85610 | Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze… | 291 | 340 | 1,030 | $1 | $10.8K |
Other providers in the same ZIP code as Edita Danaiata, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Connect Hearing Inc | IL | Hearing Aid Equipment | $0 | $12.9M |
| Aunt Martha's Health And Wellness, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $6.4M |
| Ali Khan | IL | General Practice Dentistry | $0 | $4.3M |
| Imran Qureshi | IL | Vascular & Interventional Radiology Physician | $155K | $601.8K |
| Javwaud Zafar | IL | Vascular & Interventional Radiology Physician | $98.9K | $442.5K |
| Bob Manam | IL | Infectious Disease Physician | $197.8K | $337K |
| Sanjiv Upadhyay | IL | Otolaryngology Physician | $54.7K | $356.5K |
| Philip Moore | IL | Internal Medicine Physician | $338K | $47.7K |
| John Doumanian | IL | Diagnostic Radiology Physician | $91K | $260.5K |
| Rafay Ahmed | IL | Diagnostic Radiology Physician | $134K | $172.3K |
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