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.

Mark Galera (NPI 1144811779)

Field	Value
Entity Type	Individual
Organization	Mark Galera
Address	20 Tower Ct Ste A
City	Gurnee
State	IL
ZIP	60031
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 27, 2021

Payer Source	Total Paid
Medicare	$171.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,310	$90	$115K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…	430	$70	$31.5K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	230	$60	$13.8K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	50	$140	$6.6K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	70	$40	$2.5K
99437	A physician or other qualified healthcare professional personally performs management and care plan services for a patient with two or more chronic conditions, expected to last at least one year or…	60	$40	$2.4K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	20	$20	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Mark Galera — 1 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	13	730	100	$90	$20.7K
G0181	29	170	70	$80	$20.1K
99491	21	70	110	$60	$12.7K
99345	29	150	20	$140	$5K
99437	7	10	100	$50	$4K
G0180	125	980	30	$40	$1.9K
G0318	53	60	40	$20	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Zac Ravage	IL	Retina Specialist (Ophthalmology) Physician	$4.2M	$167.5K
Jack Cohen	IL	Retina Specialist (Ophthalmology) Physician	$3.8M	$445.2K
Rumya Rao	IL	Retina Specialist (Ophthalmology) Physician	$1.7M	$2M
Matthew Wessel	IL	Retina Specialist (Ophthalmology) Physician	$2.3M	$1.3M
Andrew Gordon	IL	Neurology Physician	$3.6M	$0
Eric Chuang	IL	Internal Medicine Physician	$1.5M	$1.7M
Juanita Golden-allen	MO	Acute Care Nurse Practitioner	$2.9M	$0
John Galasso	IL	Retina Specialist (Ophthalmology) Physician	$1.6M	$1.2M
Natalia Surowaniec	IL	Family Nurse Practitioner	$2.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Village Of Gurnee	IL	Land Ambulance	$437K	$9.3M
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.5M
Michael Weinberg	IL	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M
Naheed Yasmeen	IL	Dentist	$0	$3.3M
Inna Rogoff	IL	Optometrist	$1.6K	$3.1M
Uzoma Okoli	IL	Psychiatry Physician	$129.4K	$1.2M
Raymond Chow	IL	Specialist	$960.7K	$117.6K
Ahmed Hashim	IL	Specialist	$491.4K	$193.5K
Bao-lan Raikar	IL	Surgery Physician	$584.6K	$0
Charles Jaffe	IL	Cardiovascular Disease Physician	$435.8K	$99.9K

Mark Galera — Billing Profile & Reimbursement Data

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Mark Galera — 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