Philip Moore — Billing Profile & Reimbursement Data
NPI 1104877414 · Aurora, IL · Internal Medicine Physician
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Philip Moore is a internal medicine physician provider located in Aurora, Illinois. This profile covers 18 Medicare and 4 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 | Philip Moore |
| Address | 2020 Ogden Ave Ste 400 |
| City | Aurora |
| State | IL |
| ZIP | 60504 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $338K |
| Medicaid | $47.7K |
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.
18 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… | 990 | $70 | $65.5K |
| 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… | 720 | $90 | $62.4K |
| 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… | 1,010 | $60 | $59.3K |
| 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… | 360 | $140 | $50.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 340 | $140 | $45.6K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 220 | $70 | $15K |
| 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… | 200 | $60 | $11.1K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 70 | $90 | $6.4K |
| 99212 | The 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,… | 160 | $40 | $6K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 50 | $60 | $3K |
Showing 1–10 of 18
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 173 | 1,290 | 200 | $50 | $26.1K |
| 99349 | 422 | 730 | 100 | $90 | $20.7K |
| 99214 | 809 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 135 | 4,030 | 70 | $130 | $13.6K |
| 99232 | 194 | 7,960 | 90 | $60 | $12.4K |
| 99305 | 569 | 610 | 60 | $100 | $11.1K |
| 99223 | 111 | 6,190 | 50 | $140 | $10.4K |
| 99213 | 3,646 | 17,390 | 70 | $60 | $8.8K |
| 99204 | 5,553 | 8,580 | 30 | $110 | $5.6K |
| 99497 | 459 | 970 | 50 | $60 | $5.5K |
Showing 1–10 of 18
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 510 | $50 | $25.6K |
| 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… | 800 | $30 | $19.9K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 70 | $40 | $2.5K |
| 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… | 180 | $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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1,233 | 4,800 | 210 | $30 | $29.3K |
| 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… | 992 | 1,590 | 360 | $10 | $23K |
| 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… | 279 | 2,460 | 60 | $70 | $18.1K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 622 | 1,410 | 50 | $30 | $9.2K |
Nearby Providers
Other providers in the same ZIP code as Philip Moore, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Connect Hearing Inc | IL | Hearing Aid Equipment | $0 | $12.9M |
| Aunt Martha's Health And Wellness, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $6.4M |
| Ali Khan | IL | General Practice Dentistry | $0 | $4.3M |
| Imran Qureshi | IL | Vascular & Interventional Radiology Physician | $155K | $601.8K |
| Javwaud Zafar | IL | Vascular & Interventional Radiology Physician | $98.9K | $442.5K |
| Bob Manam | IL | Infectious Disease Physician | $197.8K | $337K |
| Sanjiv Upadhyay | IL | Otolaryngology Physician | $54.7K | $356.5K |
| John Doumanian | IL | Diagnostic Radiology Physician | $91K | $260.5K |
| Rafay Ahmed | IL | Diagnostic Radiology Physician | $134K | $172.3K |
| Shanita Valentine | IL | Nurse Practitioner | $270.7K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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