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NPI 1033371554 · Woodstock, IL · Family Medicine Physician
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Baby Than is a family medicine physician provider located in Woodstock, Illinois. This profile covers 18 Medicare and 14 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 | Baby Than |
| Address | 2000 Lake Ave |
| City | Woodstock |
| State | IL |
| ZIP | 60098 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | June 26, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $251.4K |
| Medicare | $137.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,700 | $20 | $48.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 220 | $130 | $27.6K |
| 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… | 290 | $80 | $23.5K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 50 | $280 | $14.4K |
| 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… | 130 | $50 | $6.8K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 50 | $70 | $3.4K |
| 99495 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,… | 20 | $160 | $3.3K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 20 | $160 | $3.3K |
| G0009 | Administration of pneumococcal vaccine | 60 | $30 | $1.6K |
| G0008 | Administration of influenza virus vaccine | 60 | $30 | $1.6K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0897 | 186 | 410 | 2,520 | $20 | $90.8K |
| 99214 | 4,204 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 503 | 4,030 | 70 | $130 | $13.6K |
| 99213 | 5,716 | 17,390 | 70 | $60 | $8.8K |
| 90677 | 236 | 2,540 | 20 | $270 | $8K |
| 99204 | 6,663 | 8,580 | 30 | $110 | $5.6K |
| 90662 | 1,396 | 3,060 | 50 | $70 | $4.9K |
| 99203 | 5,390 | 6,150 | 30 | $70 | $3.8K |
| 99495 | 308 | 810 | 20 | $160 | $3.6K |
| G0008 | 2,169 | 4,590 | 50 | $30 | $2.8K |
Showing 1–10 of 18
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.
14 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… | 2,410 | $70 | $161.7K |
| 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… | 1,760 | $40 | $73.8K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 300 | $20 | $4.8K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 40 | $90 | $3.3K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 40 | $90 | $3K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 20 | $70 | $1.3K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 20 | $80 | $1.2K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 10 | $90 | $1K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 10 | $20 | $270 |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 30 | $10 | $190 |
Showing 1–10 of 14
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
14 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… | 1,345 | 14,680 | 300 | $50 | $48.7K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 514 | 540 | 710 | $10 | $40.6K |
| 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… | 2,360 | 14,190 | 280 | $20 | $38.9K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 1,507 | 1,670 | 160 | $40 | $26.4K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 1,161 | 1,590 | 110 | $40 | $21.4K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 666 | 820 | 340 | $1 | $17.9K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 587 | 690 | 70 | $40 | $17.5K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 537 | 570 | 80 | $40 | $15.2K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 466 | 720 | 90 | $30 | $12.1K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 823 | 2,640 | 110 | $10 | $3.7K |
Showing 1–10 of 14
Other providers in the same ZIP code as Baby Than, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aunt Martha's Health And Wellness, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $7.3M |
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $6M |
| Woodstock Fire/rescue District | IL | Paramedic | $425K | $5M |
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $4.9M |
| Jeffrey Altman | IL | Dermatology Physician | $599.1K | $36.7K |
| Mobeen Shirazi | IL | Facial Plastic Surgery Physician | $210.8K | $6.2K |
| Christopher Standage | IL | Otolaryngology Physician | $172.8K | $13.7K |
| Amarish Dave | IL | Neurology Physician | $123.5K | $58.4K |
| Sihun Kim | IL | Otolaryngology Physician | $164.1K | $13K |
| Jeffrey Kershaw | IL | Ophthalmology Physician | $155.8K | $1.3K |
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