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    John Lavaccare — Billing Profile & Reimbursement Data

    NPI 1073588802 · Hoffman Estates, IL · Neurology Physician

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    John Lavaccare is a neurology physician provider located in Hoffman Estates, Illinois. This profile covers 10 Medicare and 9 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Lavaccare
    Address1555 Barrington Rd
    CityHoffman Estates
    StateIL
    ZIP60169
    TaxonomyNeurology Physician
    NPI EnumeratedFebruary 23, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$108.8K
    Medicaid$98.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…910$60$56.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…250$70$16.3K
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…90$130$11K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…230$40$8.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$100$4.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$110$3.5K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…20$150$3.4K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…30$90$2.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…20$90$1.8K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…30$50$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993091,3101,400180$80$29.5K
    993081931,290200$50$26.1K
    992334,4215,990100$100$18.7K
    9930652869050$140$12.5K
    992321,8687,96090$60$12.4K
    958863624090$60$8.1K
    9591255020$170$5.3K
    992222,7385,73030$100$5.3K
    959105113030$120$4.1K
    958168814040$70$3.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…2,400$30$69.6K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…470$50$22.7K
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…70$90$6.6K
    0518FNo Summary found for this code60$0$0
    1100FNo Summary found for this code60$0$0
    1123FNo Summary found for this code520$0$0
    3288FNo Summary found for this code510$0$0
    G8482Influenza immunization administered or previously received250$0$0
    G8734Elder maltreatment screen documented as negative, follow-up is not required830$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…2611,590360$10$23K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…2190130$50$17.8K
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…41070$100$12.9K
    0518FNo Summary found for this code92060$0$0
    1100FNo Summary found for this code81090$0$0
    1123FNo Summary found for this code35040$0$0
    3288FNo Summary found for this code15070$0$0
    G8482Influenza immunization administered or previously received124050$0$0
    G8734Elder maltreatment screen documented as negative, follow-up is not required110180$0$0

    Nearby Providers

    Other providers in the same ZIP code as John Lavaccare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bvm Healthcare IncILDurable Medical Equipment & Medical Supplies$0$17.3M
    Medex Medical Supplies IncILClinical Medical Laboratory$372.8K$9.9M
    Michael AppiagyeiILInternal Medicine Physician$52.7K$5.1M
    Home Life Healthcare, Corp.ILHome Health Agency$0$3.4M
    Hoffman Estates Surgery Center, LLCILAmbulatory Surgical Clinic/Center$2.2M$0
    Access Lab IncILClinical Medical Laboratory$1.9M$10.5K
    Rajiv SoodILInternal Medicine Physician$616.4K$276.1K
    Robert MackILOphthalmology Physician$550.2K$306.8K
    Sonali MajmudarILAllergy & Immunology Physician$94.8K$656.4K
    S & T Medical Group LtdILClinical Medical Laboratory$707.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    John Lavaccare — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    John Lavaccare — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois