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    OpenPayerNPI Medicare & MedicaidEsmilkrys Ramirez
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    Esmilkrys Ramirez — Billing Profile & Reimbursement Data

    NPI 1083880546 · Chicago, IL · Obesity Medicine (Preventive Medicine) Physician

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    Esmilkrys Ramirez is a obesity medicine (preventive medicine) physician provider located in Chicago, Illinois. This profile covers 25 Medicare and 48 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
    OrganizationEsmilkrys Ramirez
    Address4959 W Belmont Ave
    CityChicago
    StateIL
    ZIP60641
    TaxonomyObesity Medicine (Preventive Medicine) Physician
    NPI EnumeratedMay 5, 2008

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

    Payer SourceTotal Paid
    Medicaid$1.7M
    Medicare$135.8K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…710$90$63.2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…620$40$23.1K
    90677This 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…40$280$9.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$130$9.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$120$5.5K
    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…70$60$4.4K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…60$80$4.3K
    G0008Administration of influenza virus vaccine90$30$2.8K
    99442N/A30$70$2.4K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.10$140$1.9K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322811850110$140$20.6K
    9921483018,540110$80$17.1K
    G04392,0514,03070$130$13.6K
    992153,0196,24040$120$10.1K
    992138,67917,39070$60$8.8K
    906775622,54020$270$8K
    906949121,83060$70$6.5K
    904801,4731,570130$40$5.9K
    G00081,4794,59050$30$2.8K
    364153,1994,18090$10$2.7K

    Showing 1–10 of 25

    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…15,090$70$980.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…11,320$20$237.7K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.6,140$20$110.6K
    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…2,230$40$86.9K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.5,540$10$72K
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.7,390$1$22.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…2,760$10$22.1K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.1,010$20$18.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…410$40$15.3K
    82950The lab analyst tests a sample, typically blood, for glucose, also known as blood sugar. The collecting provider takes the sample at a set time after the patient has ingested an amount of liquid or a…2,540$10$12.7K

    Showing 1–10 of 48

    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

    48 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source248400550$20$90.8K
    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…8214,680300$50$48.7K
    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…1,82814,190280$20$38.9K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.236050$100$18.2K
    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…7202,80060$80$17.7K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.27857080$40$15.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…239910110$30$14.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…3852,32070$50$13.8K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.48372090$30$12.1K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.644080$20$10K

    Showing 1–10 of 48

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eva WojcikILCytopathology Physician$17.3K$9.7M
    Ven AduanaILAnatomic Pathology & Clinical Pathology Physician$125.7K$5.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Paramjit ChopraILVascular & Interventional Radiology Physician$4.7M$82.9K
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    Brian LarsenILRetina Specialist (Ophthalmology) Physician$3.8M$197.6K
    Mathew MaccumberILRetina Specialist (Ophthalmology) Physician$2.7M$1.1M
    Walter PerezILPediatrics Physician$0$3.8M
    Rumya RaoILRetina Specialist (Ophthalmology) Physician$1.7M$2M
    Sapna GujjaILFamily Medicine Physician$22.3K$3.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lutheran Social Services Of IllinoisILMental Health Clinic/Center (Including Community Mental Health Center)$0$51.1M
    Unic Labs LLCILClinical Medical Laboratory$6.7M$0
    Advanced Medical Supply IncILDurable Medical Equipment & Medical Supplies$0$5.4M
    Lydia Home AssociationILEmotionally Disturbed Childrens' Residential Treatment Facility$0$5M
    Javier FloresILFamily Medicine Physician$312.2K$5.3K
    Hong VoILInterventional Pain Medicine Physician$259.4K$20.4K
    Sophia Zamudio RasofILFamily Medicine Physician$31.4K$174.1K
    Pierpaolo Di CoccoILTransplant Surgery Physician$145.4K$25.7K
    Ramon CastroILInternal Medicine Physician$100.6K$0
    Chicago Pcr Lab Services IncILClinical Medical Laboratory$90.1K$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
    Esmilkrys Ramirez — 2 of 25 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
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Esmilkrys Ramirez — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois