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.

Spec Educ Dist Lake Co Sedol (NPI 1013046614)

Field	Value
Entity Type	Organization
Organization	Spec Educ Dist Lake Co Sedol
Address	18160 W Gages Lake Rd
City	Gages Lake
State	IL
ZIP	60030
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	March 2, 2007

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1002	Rn services, up to 15 minutes	15,670	$110	$1.7M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	24,700	$20	$543.4K
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…	11,970	$20	$263.3K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	24,550	$10	$245.5K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	6,870	$30	$206.1K
96152	N/A	6,500	$20	$155.9K
96153	N/A	15,910	$10	$127.3K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	1,530	$30	$39.7K
T1021	Home health aide or certified nurse assistant, per visit	390	$100	$37.7K
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…	1,030	$30	$29.9K

Showing 1–10 of 19

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

Spec Educ Dist Lake Co Sedol — 3 of 18 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1021	Home health aide or certified nurse assistant, per visit	135	150	4,590	$30	$430.6K
T1002	Rn services, up to 15 minutes	8	140	840	$60	$428K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	79	620	5,060	$10	$205.3K
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…	467	1,220	540	$60	$179.4K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	56	460	1,480	$30	$132K
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…	67	1,210	1,070	$30	$102.1K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	73	230	2,330	$10	$66.5K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	16	380	2,820	$10	$64.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	194	300	1,420	$10	$53.1K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	16	140	280	$30	$51.3K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Spec Educ Dist Lake Co Sedol, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medline Industries, LP	IL	Durable Medical Equipment & Medical Supplies	$0	$232.9M
Eric Smyth	IL	Dentist	$0	$4.5M
Grayslake Fire Protection District	IL	Land Ambulance	$475.6K	$2.5M
D. P. Murphy Ambulance Company	IL	Land Ambulance	$644.5K	$2.2M
Wajahat Mirza	IL	Cardiovascular Disease Physician	$659.5K	$235.1K
Gina Midmore	IL	Diagnostic Radiology Physician	$348.4K	$0
Joon Kim	IL	Rheumatology Physician	$323.3K	$0
Lawrence Amato	IL	Internal Medicine Physician	$290.4K	$16.3K
Griff Winters	IL	Podiatrist	$174.7K	$0
Jai Nho	IL	Family Medicine Physician	$114.9K	$1.9K

Spec Educ Dist Lake Co Sedol — Billing Profile & Reimbursement Data

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Spec Educ Dist Lake Co Sedol — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References