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.

Lily Zhao (NPI 1093873671)

Field	Value
Entity Type	Individual
Organization	Lily Zhao
Address	2520 Elisha Ave
City	Zion
State	IL
ZIP	60099
Taxonomy	Physician Assistant
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicare	$112.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The 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…	1,870	$50	$97K
99309	The 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…	110	$80	$8.4K
94004	The provider delivers daily ventilator management services for a patient in a long–term care facility.	170	$30	$5.5K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$100	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Lily Zhao — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	862	1,400	180	$80	$29.5K
99308	65	1,290	200	$50	$26.1K
99305	490	610	60	$100	$11.1K
94004	2	10	170	$30	$7.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence Rudnick	IL	Pulmonary Disease Physician	$310.4K	$827.7K
Mukesh Ahluwalia	AZ	Pulmonary Disease Physician	$324.3K	$585.3K
Anil Kachru	IL	Pulmonary Disease Physician	$212.8K	$452.5K
Mazen Kherallah	ND	Critical Care Medicine (Internal Medicine) Physician	$83.4K	$91.3K
Marina Gershteyn	IL	Physician Assistant	$51K	$0
Rajiv Patel	AZ	Critical Care Medicine (Internal Medicine) Physician	$5.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Zion	IL	Land Ambulance	$222.2K	$7.6M
County Of Lake	IL	Federally Qualified Health Center (FQHC)	$0	$7.1M
Karan Shah	IL	Radiation Oncology Physician	$156.9K	$0
Tami Carrillo	IL	Vascular & Interventional Radiology Physician	$101.9K	$26.6K
Kenny Yoo	IL	Vascular & Interventional Radiology Physician	$120.4K	$0
Meng Gan	IL	Radiation Oncology Physician	$118.7K	$0
Neil Dunavin	IL	Hematology (Internal Medicine) Physician	$50.1K	$0
Jianping Lin	IL	Anatomic Pathology & Clinical Pathology Physician	$46.7K	$0
Delu Zhou	IL	Anatomic Pathology & Clinical Pathology Physician	$42K	$0

Lily Zhao — Billing Profile & Reimbursement Data

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Lily Zhao — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References