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NPI 1093764193 · Oak Park, IL · Gastroenterology Physician
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Kamran Heydarpour is a gastroenterology physician provider located in Oak Park, Illinois. This profile covers 17 Medicare and 22 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 | Kamran Heydarpour |
| Address | 1 Erie Ct |
| City | Oak Park |
| State | IL |
| ZIP | 60302 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | May 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.2M |
| Medicare | $129.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99232 | The 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… | 570 | $70 | $37.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 70 | $190 | $13K |
| 99233 | The 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… | 130 | $100 | $12.7K |
| 99222 | The 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… | 90 | $110 | $9.9K |
| 45380 | The 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… | 60 | $150 | $8.6K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 40 | $190 | $8.1K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 50 | $140 | $7.5K |
| 43239 | The 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. | 60 | $100 | $5.9K |
| 43246 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum to direct the placement of a tube through the skin and abdominal tissues into the… | 30 | $170 | $5K |
| 45385 | The 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… | 20 | $200 | $4.3K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 523 | 640 | 60 | $270 | $23.4K |
| 99233 | 2,577 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 14,591 | 18,540 | 110 | $80 | $17.1K |
| 45380 | 308 | 670 | 50 | $160 | $12.7K |
| 99232 | 552 | 7,960 | 90 | $60 | $12.4K |
| 99223 | 2,777 | 6,190 | 50 | $140 | $10.4K |
| G0105 | 84 | 310 | 30 | $260 | $10K |
| 43239 | 351 | 680 | 70 | $110 | $9.6K |
| 99213 | 14,130 | 17,390 | 70 | $60 | $8.8K |
| G0121 | 14 | 250 | 20 | $260 | $7K |
Showing 1–10 of 17
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.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 2,470 | $200 | $502.2K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1,030 | $200 | $209.5K |
| 45380 | The 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… | 850 | $170 | $142.6K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 590 | $180 | $104.5K |
| 99232 | The 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… | 3,850 | $20 | $77K |
| 99233 | The 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… | 1,400 | $50 | $65.9K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 600 | $90 | $51.7K |
| 99222 | The 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… | 450 | $40 | $19.4K |
| 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… | 450 | $40 | $18K |
| 45385 | The 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… | 40 | $250 | $10.8K |
Showing 1–10 of 22
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
22 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1 | 10 | 20 | $200 | $72.2K |
| 43239 | The 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. | 3 | 300 | 70 | $180 | $50.5K |
| 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… | 10,329 | 14,680 | 300 | $50 | $48.7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 6 | 40 | 50 | $200 | $42.3K |
| 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… | 5,880 | 14,190 | 280 | $20 | $38.9K |
| 99233 | The 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… | 557 | 3,830 | 210 | $40 | $29.4K |
| 99232 | The 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… | 300 | 4,800 | 210 | $30 | $29.3K |
| 45385 | The 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… | 43 | 90 | 40 | $220 | $26.8K |
| 45380 | The 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… | 6 | 120 | 50 | $140 | $25K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 248 | 2,460 | 60 | $70 | $18.1K |
Showing 1–10 of 22
Other providers in the same ZIP code as Kamran Heydarpour, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pcc Community Wellness Center | IL | Federally Qualified Health Center (FQHC) | $0 | $102.1M |
| Thrive Counseling Center | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $9.5M |
| Randall Mcgivney | IL | Clinical Pathology/Laboratory Medicine Physician | $27.6K | $4.1M |
| Unilab Inc | IL | Clinical Medical Laboratory | $2.9M | $1M |
| Sabrina Albert | IL | Clinical Social Worker | $0 | $3.1M |
| Timothy Mccarthy | IL | Ophthalmology Physician | $151.5K | $2.3M |
| Mark Balek | IL | Cardiovascular Disease Physician | $1.1M | $516.2K |
| Dheeraj Mahajan | IL | Internal Medicine Physician | $518.5K | $958K |
| David Springer | IL | Ophthalmology Physician | $429.9K | $174.1K |
| Victoria Chirman | IL | Podiatrist | $473.7K | $20K |
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