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    OpenPayerNPI Medicare & MedicaidChad Spangler
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    Chad Spangler — Billing Profile & Reimbursement Data

    NPI 1073625562 · Lake Barrington, IL · Gastroenterology Physician

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    Chad Spangler is a gastroenterology physician provider located in Lake Barrington, Illinois. This profile covers 19 Medicare and 1 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
    OrganizationChad Spangler
    Address22285 N Pepper Rd
    CityLake Barrington
    StateIL
    ZIP60010
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicare$164.9K
    Medicaid$13.6K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…130$290$38.6K
    99214The 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…230$100$21.6K
    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…320$60$19.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…100$190$18.5K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.120$120$14.9K
    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…120$100$12.1K
    99204The provider sees a new 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 provider…70$120$8.3K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…30$220$7.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$350$7.3K
    99213The 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…50$70$3.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538511564060$270$23.4K
    992335,9695,990100$100$18.7K
    992145,47118,540110$80$17.1K
    4538016467050$160$12.7K
    992321,4557,96090$60$12.4K
    G010518131030$260$10K
    4323913768070$110$9.6K
    9921311,28417,39070$60$8.8K
    432497913020$280$8.1K
    43242103020$200$5.9K

    Showing 1–10 of 19

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…470$30$13.7K

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,6604,800210$30$29.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Chad Spangler, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ven AduanaILAnatomic Pathology & Clinical Pathology Physician$125.7K$5.9M
    Guillermo FontILMaternal & Fetal Medicine Physician$0$4.9M
    Jack CohenILRetina Specialist (Ophthalmology) Physician$3.8M$445.2K
    Ramon LeeILRetina Specialist (Ophthalmology) Physician$4M$8.5K
    Mathew MaccumberILRetina Specialist (Ophthalmology) Physician$2.7M$1.1M
    Andrew GordonILNeurology Physician$3.6M$0
    Alan AkiraILPsychiatry Physician$13.9K$2.9M
    Manthan ShahILOphthalmology Physician$2.8M$35.1K
    Jeffrey ParnellILRetina Specialist (Ophthalmology) Physician$2.6M$27.5K
    Ogbonnaya AneziokoroILNephrology Physician$525.3K$1.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rebecca GuioILNurse Practitioner$1.4M$98.4K
    Barrington Pain And Spine Institute, LLCILAmbulatory Surgical Clinic/Center$1.1M$0
    Amy DerickILDermatology Physician$994.7K$2K
    George KatsamakisILNeurology Physician$757.6K$490
    Richard TroyILUrology Physician$593K$0
    George AtiaILGastroenterology Physician$334.4K$250.4K
    Viren GohilILEmergency Medicine Physician$105.9K$342K
    Marc AngerameILOrthopaedic Surgery Physician$427.8K$0
    Tamra LewisILUrology Physician$400.9K$0
    Jeremy OryhonILOrthopaedic Surgery Physician$391.1K$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
    Chad Spangler — 0 of 19 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 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Chad Spangler — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois