Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Central Dupage Hospital Association (NPI 1003864810)

Central Dupage Hospital Association is a general acute care hospital provider located in Winfield, Illinois. This profile covers 0 Medicare and 302 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Central Dupage Hospital Association
Address	25 North Winfield Rd.
City	Winfield
State	IL
ZIP	60190
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

302 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	50,970	$90	$4.6M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	27,730	$20	$415.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	27,680	$20	$415.2K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	15,240	$20	$335.2K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	4,350	$70	$317.7K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2,150	$150	$313.2K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	43,330	$10	$260K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	9,260	$30	$231.4K
87799	The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…	5,320	$40	$191.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	63,590	$1	$190.8K

Showing 1–10 of 302

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Central Dupage Hospital Association — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

302 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81513	The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…	5	10	210	$70	$1.4M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	15	20	940	$110	$1.1M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	2	10	30	$400	$883.9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	33	70	570	$50	$565.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	124	350	400	$70	$514.7K
87799	The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…	3	20	500	$30	$399.9K
87512	The lab analyst performs a test to quantify infection with Gardnerella vaginalis using nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the…	2	10	180	$30	$362.3K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	30	30	420	$70	$308.4K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	19	50	270	$230	$271.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	91	280	1,120	$30	$218.9K

Showing 1–10 of 302

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
George Nijmeh	IL	Cardiovascular Disease Physician	$419.9K	$14.3K
Ryan Tremb	IL	Family Medicine Physician	$23.4K	$331.8K
James Kinn	IL	Cardiovascular Disease Physician	$212K	$31.7K
Michelle Montpetit	IL	Advanced Heart Failure and Transplant Cardiology Physician	$146.7K	$25.3K
Nadeem Hussain	IL	Psychiatry Physician	$51K	$42.9K
Stanley Kim	IL	Vascular & Interventional Radiology Physician	$89.7K	$0
Kanesha Bryant	IL	Surgery Physician	$73.2K	$400
Waleed Ahmed	IN	Cardiovascular Disease Physician	$68.2K	$4.4K
Kerri Manning	IL	Physician Assistant	$42.2K	$0
Nilesh Patel	SC	Vascular & Interventional Radiology Physician	$31.8K	$3.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ajay Patel	IL	Anatomic Pathology & Clinical Pathology Physician	$65.4K	$4.2M
Tiffany Chang	IL	Anatomic Pathology & Clinical Pathology Physician	$98K	$1.5M
Scott Sporer	IL	Adult Reconstructive Orthopaedic Surgery Physician	$515.6K	$0
Elisa Rhew	IL	Rheumatology Physician	$500.6K	$0
Devin Patel	IL	Interventional Cardiology Physician	$407.1K	$38.1K
Pin Lin	IL	Rheumatology Physician	$415.3K	$0
Robin Pastore	IL	Foot & Ankle Surgery Podiatrist	$392K	$6.4K
Joshua Blomgren	IL	Sports Medicine (Family Medicine) Physician	$361.1K	$31.4K
Omeed Zardkoohi	IL	Clinical Cardiac Electrophysiology Physician	$320.3K	$6.3K
Glenn Suacillo	IL	Emergency Medicine Physician	$154.9K	$156.1K

Central Dupage Hospital Association — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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