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NPI 1114902814 · Chicago, IL · Anatomic Pathology & Clinical Pathology Physician
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Robert Decresce is a anatomic pathology & clinical pathology physician provider located in Chicago, Illinois. This profile covers 9 Medicare and 231 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 | Robert Decresce |
| Address | 1653 W Congress Pkwy |
| City | Chicago |
| State | IL |
| ZIP | 60612 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | December 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.4M |
| Medicare | $62K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 84165 | The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic… | 1,780 | $10 | $23.1K |
| 86334 | The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor. | 1,530 | $10 | $19.9K |
| 86077 | The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular… | 160 | $40 | $5.9K |
| 84166 | The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis. | 330 | $10 | $4.3K |
| 85060 | The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination. | 180 | $20 | $3.4K |
| 86335 | The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or… | 160 | $10 | $2.1K |
| 83020 | The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis. | 100 | $10 | $1.3K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 20 | $30 | $560 |
| 86078 | The blood bank physician investigates a transfusion reaction, including the possible transmission of disease. She then interprets the results and provides a written report. | 10 | $40 | $530 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
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Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
231 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 304,300 | $10 | $1.5M |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 34,740 | $30 | $972.8K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 297,830 | $1 | $893.5K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 142,900 | $1 | $571.6K |
| 87632 | The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this… | 6,110 | $90 | $525.2K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 55,670 | $10 | $445.3K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 127,900 | $1 | $383.7K |
| 82803 | The lab analyst performs blood gas analysis to measure at least two of the listed parameters. He typically performs an arterial blood gas analysis, called an ABG, using arterial blood inserted into a… | 41,690 | $10 | $375.2K |
| 86803 | Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody | 31,910 | $10 | $255.3K |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 46,430 | $10 | $232.2K |
Showing 1–10 of 231
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
231 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87636 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic… | 15 | 130 | 70 | $120 | $240.2K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 55 | 280 | 1,120 | $30 | $218.9K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 4 | 250 | 450 | $40 | $185.7K |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 5 | 30 | 170 | $50 | $169.7K |
| 87632 | The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this… | 1 | 10 | 310 | $90 | $123.1K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 98 | 110 | 200 | $40 | $111.1K |
| 87536 | A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load. | 11 | 50 | 290 | $50 | $94.7K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 2 | 740 | 960 | $10 | $75.9K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 10 | 530 | 840 | $10 | $73.9K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 13 | 140 | 400 | $20 | $64.8K |
Showing 1–10 of 231
Other providers in the same ZIP code as Robert Decresce, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cook County | IL | Multi-Specialty Clinic/Center | $0 | $85.9M |
| Frederick Behm | IL | Anatomic Pathology & Clinical Pathology Physician | $440 | $32.3M |
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $26.1M |
| Sahar Alrayyes | IL | Pediatric Dentistry | $0 | $20.3M |
| Western Labs Company | IL | Clinical Medical Laboratory | $18.4M | $8.4K |
| Susan Rowan | IL | Dentist | $0 | $15.4M |
| Advance Lab Company | IL | Clinical Medical Laboratory | $14.5M | $0 |
| The Board Of Trustees Of The University Of Illinois | IL | Internal Medicine Physician | $0 | $11.9M |
| Rush University Medical Center | IL | Early Intervention Provider Agency | $0 | $10.1M |
| Michael Miloro | IL | Oral & Maxillofacial Surgery (D.M.D.) | $0 | $9.5M |
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