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    OpenPayerNPI Medicare & MedicaidRolando Henriquez
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    Rolando Henriquez — Billing Profile & Reimbursement Data

    NPI 1144370990 · Addison, IL · Internal Medicine Physician

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    Rolando Henriquez is a internal medicine physician provider located in Addison, Illinois. This profile covers 21 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)

    FieldValue
    Entity TypeIndividual
    OrganizationRolando Henriquez
    Address1841 W Army Trail Rd
    CityAddison
    StateIL
    ZIP60101
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 12, 2007

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

    Payer SourceTotal Paid
    Medicaid$497.2K
    Medicare$80.2K

    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.

    21 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…450$90$39.8K
    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…170$60$10.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…180$50$9.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$130$5.1K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…40$110$4.6K
    99497The 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…30$90$2.9K
    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…160$10$1.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…10$120$1.5K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.40$30$1.2K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes30$30$730

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306911930230$70$21.8K
    992142,24818,540110$80$17.1K
    G04392,7594,03070$130$13.6K
    99490293660150$50$13.2K
    992134,30717,39070$60$8.8K
    961327114050$100$6K
    9949759097050$60$5.5K
    83014210420$10$3.2K
    G0446516060$30$2.8K
    G044430547050$20$1.6K

    Showing 1–10 of 21

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…6,400$40$275.4K
    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…2,940$50$150K
    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…1,890$10$18.9K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.570$20$12K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.130$80$9.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.100$80$7.5K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…350$20$6.7K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…360$10$3.6K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.220$20$3.3K
    94640The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…170$10$2.2K

    Showing 1–10 of 22

    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

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.162050$70$167.3K
    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…1,01814,680300$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…59114,190280$20$38.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.9771,670160$40$26.4K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.7421,590110$40$21.4K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.89200230$10$9.9K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.2811,550120$20$8.4K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.9572,190160$10$6.4K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…172580120$10$5.7K
    99173The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…888920180$1$5.6K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary PaunilianILPhysical Therapist$187.2K$80.7K
    Barry GlickILInternal Medicine Physician$218K$0
    Peter CalabreseILFamily Medicine Physician$101.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Century Clinics LLCILClinical Medical Laboratory$10M$21.2K
    Star Labs LLCILClinical Medical Laboratory$9M$2.5K
    Addison Fire Protection District No 1ILLand Ambulance$345.9K$7.7M
    Family Home Health Services, Inc.ILHome Health Agency$0$5.7M
    County Of Dupage Department Of HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$5.2M
    Ylab180 IncILClinical Medical Laboratory$612.7K$4.6M
    Hamdard Health AllianceILFederally Qualified Health Center (FQHC)$0$4M
    Renu JainILPediatrics Physician$0$3.6M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$2.9M
    Star Medical Lab LLCILClinical Medical Laboratory$468.3K$1.2M

    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
    Rolando Henriquez — 0 of 19 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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Rolando Henriquez — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois