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.

Professional Healthcare Inc (NPI 1043702830)

Field	Value
Entity Type	Organization
Organization	Professional Healthcare Inc
Address	2220 Hicks Rd Ste 201
City	Rolling Meadows
State	IL
ZIP	60008
Taxonomy	Geriatric Medicine (Family Medicine) Physician
NPI Enumerated	June 6, 2018

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

PROFESSIONAL HEALTHCARE INC is effectively single‑payer in the available data: total Medicare revenue is $2.8M and there is no Medicaid billing on file, so Medicare accounts for the provider’s entire reported public-payer revenue base. Analysts should treat this profile as Medicare‑driven when assessing payer exposure and contractual risk.

Revenue is highly concentrated in a small number of services: the precomputed top 3 Medicare codes account for 78.7% of this provider’s total Medicare revenue, driven by U0004 ($949.3K, 34.4%), P9603 ($894.7K, 32.4%), and G2024 ($328.2K, 11.9%). This concentration indicates the provider’s financial performance is closely tied to a narrow service mix rather than broad primary‑care billing.

The code mix and descriptions point to an operational focus on SARS‑CoV‑2 diagnostic testing and mobile/specimen collection services rather than routine geriatric office visits. High revenue and claim counts for U0004, U0005, G2024, and P9603 suggest the organization is primarily delivering COVID‑19 testing and travel/collection services for homebound and SNF populations.

PROFESSIONAL HEALTHCARE INC is a national outlier on molecular SARS‑CoV‑2 testing using high‑throughput technologies: U0004 ranks #4 of 259 providers nationally (99th percentile; extreme outlier). That ranking signals market dominance for this specific high‑throughput COVID testing code well above typical national volumes.

The provider also shows elevated national standing for specimen‑collection and related COVID testing codes: P9603 ranks #15 of 267 (95th percentile; notably above typical national volume) and G2024 ranks #4 of 79 (96th percentile; notably above typical national volume). Those ranks indicate this organization is a major national participant in travel/collection payments and SNF/HHA specimen collection for COVID testing.

Other PCR and lab codes support an integrated testing and specimen‑handling operation: U0005 ($319.4K, 11.6%; ranks #22 of 1090, 98th percentile), 87635 ($94.3K, 3.4%; ranks #64 of 9976, 99th percentile), and 36415 (3.1K claims, $24.5K, 0.9%; ranks #544 of 86467, 99th percentile) show notable volumes on both COVID nucleic‑acid tests and basic phlebotomy. This pattern is consistent with a provider that combines diagnostic testing and routine specimen collection at scale.

Claim counts indicate very large operational throughput in travel/collection activity and testing: P9603 shows 894.7K claims and U0004 shows 12.8K claims, demonstrating high transactional volume tied to specimen pickup/collection and high‑throughput testing. Such volumes are operationally distinct from a typical office‑based geriatric practice and imply substantial logistics and laboratory activity.

The provider’s NPI was enumerated on 2018-06-06 (~8 years ago); despite relatively recent enumeration it has achieved high national ranks on multiple COVID‑related testing and specimen‑collection codes. That rapid scaling into high‑volume testing lines is important context for competitive analyses and for assessing how sustainable the current revenue mix may be if testing demand shifts.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	12,830	$70	$949.3K
P9603	Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled	894,660	$1	$894.7K
G2024	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen…	13,130	$30	$328.1K
U0005	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, cdc or non-cdc,…	12,780	$30	$319.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,890	$50	$94.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	270	$140	$37.1K
P9604	Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge	1,320	$20	$27.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,070	$10	$24.5K
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.	1,290	$10	$12.9K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	440	$30	$12.8K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Professional Healthcare Inc — 4 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. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87637	12	50	50	$140	$557.3K
U0004	2	20	530	$70	$383.5K
P9603	3	40	35,960	$1	$232.2K
G2024	3	10	2,550	$20	$195.3K
U0005	7	100	270	$20	$86.3K
86480	11	20	40	$60	$23.1K
P9604	10	30	310	$10	$18.7K
83970	63	90	50	$40	$17.8K
82306	31	360	50	$30	$14.7K
87086	21	110	40	$10	$11.9K

Showing 1–10 of 43

Nearby Providers

Other providers in the same ZIP code as Professional Healthcare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuum Pediatric Nursing Services Inc	IL	Nursing Care Agency	$0	$12.6M
Patients Choice, LLC	IL	Customized Equipment (DME)	$0	$4.9M
Professional Healthcare Inc	IL	Clinical Medical Laboratory	$0	$4.9M
Kristin Elatkin	IL	Family Nurse Practitioner	$1.6M	$5K
Michael Bukhalo	IL	Dermatology Physician	$1.2M	$105.5K
Manuel Rosado	IL	Hematology & Oncology Physician	$547.3K	$29K
Kevin Mckian	IL	Hematology & Oncology Physician	$479.6K	$77K
Marina Messinger	IL	Internal Medicine Physician	$469.4K	$12.6K
Roberto Montoya Barraza	IL	Hematology & Oncology Physician	$404K	$14.2K
John O'connell	IL	Family Medicine Physician	$300.6K	$61.8K

Professional Healthcare Inc — Billing Profile & Reimbursement Data

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Professional Healthcare Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References