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    OpenPayerNPI Medicare & MedicaidCullen Hoos
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    Cullen Hoos — Billing Profile & Reimbursement Data

    NPI 1154973436 · Springfield, IL · Hospitalist Physician

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    Cullen Hoos is a hospitalist physician provider located in Springfield, Illinois. This profile covers 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationCullen Hoos
    Address701 N 1st St
    CitySpringfield
    StateIL
    ZIP62781
    TaxonomyHospitalist Physician
    NPI EnumeratedJuly 16, 2019

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

    Payer SourceTotal Paid
    Medicare$104.6K
    Medicaid$20.6K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99223The 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…250$130$32.6K
    99232The 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…420$60$25.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…270$90$24.9K
    99238The 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…300$60$18.4K
    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…20$60$1.2K
    99308The 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…20$60$1.2K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.10$60$820

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993084471,290200$50$26.1K
    992333435,990100$100$18.7K
    992324377,96090$60$12.4K
    99223756,19050$140$10.4K
    9949720097050$60$5.5K
    9923831,75030$60$2.9K
    993153312020$60$2.4K

    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 CodeDescriptionClaimsAvg PaidRevenue
    99232The 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…210$30$6.4K
    99223The 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…80$70$5.7K
    99238The 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…170$30$4.5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$40$3.9K

    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 CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…2,5293,830210$40$29.4K
    99232The 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…2,4134,800210$30$29.3K
    99223The 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…1,0472,46060$70$18.1K
    99238The 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…3951,41050$30$9.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unity HealthcareIAGeneral Acute Care Hospital$0$12.7M
    Springfield Clinic, LLPILClinical Medical Laboratory$3.5M$7.4M
    Springfield Clinic, LLPILRural Health Clinic/Center$0$9.4M
    Aleksandr KaganILOphthalmology Physician$2.8M$1.5M
    St Anthonys Physician Organization Hospitalist Services, L.c.MOHospitalist Physician$0$4.2M
    Springfield Clinic LLPILAmbulatory Surgical Clinic/Center$3.5M$0
    Robert LowenthalILOphthalmology Physician$3.2M$62.6K
    Lanny OdinILOphthalmology Physician$2.5M$406.4K
    Macoupin Family Practice Center, LLPILFamily Medicine Physician$0$2.9M
    Ramanath BhandariILOphthalmology Physician$2.5M$144.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Home ServicesILHome Health Agency$0$3.5M
    Memorial Medical CenterILGeneral Acute Care Hospital$0$3.1M
    Marisa BlitsteinILDiagnostic Radiology Physician$190.6K$556K
    Junaid BaqaiILAnatomic Pathology & Clinical Pathology Physician$72K$492.5K
    Daniel FerraroILRadiation Oncology Physician$247.2K$0
    Nassim BanisaeedILAnatomic Pathology & Clinical Pathology Physician$108K$135.1K
    Allison RetzerILDiagnostic Radiology Physician$177.5K$0
    Alex HallILDiagnostic Radiology Physician$174.2K$0
    Christopher BradburyILRadiation Oncology Physician$146.7K$1.5K
    Sajedabanu MominILHospitalist Physician$75.5K$14.7K

    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
    Cullen Hoos — 2 of 7 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 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Cullen Hoos — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois