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    OpenPayerNPI Medicare & MedicaidRoy Bardwell
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    Roy Bardwell — Billing Profile & Reimbursement Data

    NPI 1154562080 · Tinley Park, IL · Family Medicine Physician

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    Roy Bardwell is a family medicine physician provider located in Tinley Park, Illinois. This profile covers 9 Medicare and 14 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
    OrganizationRoy Bardwell
    Address16650 Harlem Ave
    CityTinley Park
    StateIL
    ZIP60477
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 24, 2009

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

    Payer SourceTotal Paid
    Medicaid$250.5K
    Medicare$70.6K

    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.

    9 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…370$100$36.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.180$60$10.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$130$10.6K
    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…70$70$5.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$130$5.1K
    98927The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.40$50$1.8K
    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…70$10$860
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.30$1$120
    J1885Injection, ketorolac tromethamine, per 15 mg200$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    803072570120$60$27.2K
    992142,99118,540110$80$17.1K
    G04392,7594,03070$130$13.6K
    992151,8316,24040$120$10.1K
    992138,81817,39070$60$8.8K
    9892781080$40$2.9K
    963726151,52060$10$1.2K
    9612711120040$1$220
    J18851310050$1$40

    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.

    14 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…3,030$50$145.3K
    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…2,150$30$58K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.980$40$43.3K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.30$80$2.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$70$980
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.80$10$840
    98927The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.30$20$620
    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…20$10$110
    J1885Injection, ketorolac tromethamine, per 15 mg10$1$10
    3074FNo Summary found for this code1,030$0$0

    Showing 1–10 of 14

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1492801,120$30$218.9K
    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…97614,680300$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…1,90314,190280$20$38.9K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.41857080$40$15.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…2,0382,32070$50$13.8K
    98927The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.210560$20$9.7K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.9541,410210$10$9.4K
    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…781900120$10$3.5K
    J1885Injection, ketorolac tromethamine, per 15 mg10012060$1$420
    3078FNo Summary found for this code152530170$1$10

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gardner Family Health Network IncCAFederally Qualified Health Center (FQHC)$0$23.7M
    Shahnaz AzadILInfectious Disease Physician$366.3K$657.8K
    William CampbellILFamily Medicine Physician$225.4K$693.9K
    George MacriniciILPain Medicine (Anesthesiology) Physician$312.3K$0
    Frank NarcisiILPodiatrist$137.8K$1.6K
    Gintautas CiabilisILAnesthesiology Physician$51.2K$0
    Longcheng SuILAnesthesiology Physician$50.6K$0
    Lito FajardoILAnesthesiology Physician$25.5K$0
    Michael HanaILPain Medicine (Anesthesiology) Physician$20.8K$2.4K
    Lynn WrightILAnesthesiology Physician$11.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trace Ambulance IncILLand Ambulance$1.9M$10.2M
    Grand Prairie ServicesILMental Health Clinic/Center (Including Community Mental Health Center)$0$11.9M
    Ambulance Transportation, IncILLand Ambulance$0$7.4M
    Blackhawk Medical Transportation, Inc.ILLand Ambulance$893.7K$5.8M
    Pediatric Services Of America, LLCILNursing Care Agency$0$3.4M
    Vivek IyengarILMOHS-Micrographic Surgery Physician$1.9M$0
    Ingalls Same Day Surgery Center LtdILSurgery Physician$497.2K$0
    Phillip NigroILOrthopaedic Surgery Physician$178.3K$205.2K
    Talia NelsonILPsychiatric/Mental Health Nurse Practitioner$209.4K$115.6K
    Paul DanielskyILOrthopaedic Surgery Physician$258.4K$34.9K

    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
    Roy Bardwell — 0 of 8 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
    Roy Bardwell — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois