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    OpenPayerNPI Medicare & MedicaidJavier Flores
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    Javier Flores — Billing Profile & Reimbursement Data

    NPI 1164445854 · Chicago, IL · Family Medicine Physician

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    Javier Flores is a family medicine physician provider located in Chicago, Illinois. This profile covers 27 Medicare and 12 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
    OrganizationJavier Flores
    Address4952 W Irving Park Rd Ste 300
    CityChicago
    StateIL
    ZIP60641
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 25, 2006

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

    Payer SourceTotal Paid
    Medicare$312.2K
    Medicaid$5.3K

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36478In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…80$810$68.2K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…330$110$36.9K
    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…510$70$36.1K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…20$1,090$24K
    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…280$80$23.4K
    36479In this add–on procedure the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in a single extremity. The provider performs…80$260$21.1K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose270$60$15.4K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…320$40$13.4K
    36471In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…80$150$12.3K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…110$90$9.9K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36465405040$1,050$71.2K
    3647854030$770$33.7K
    992144,36018,540110$80$17.1K
    J73211880150$60$16.2K
    G04393,3054,03070$130$13.6K
    206114539080$80$12.2K
    36471165050$160$11.6K
    9921388617,39070$60$8.8K
    3647911020$260$8.4K
    3647091050$90$5.7K

    Showing 1–10 of 27

    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.

    12 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…1,780$1$1.8K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose100$20$1.8K
    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…340$1$1K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…470$1$950
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…440$1$440
    10022N/A130$0$0
    1036FN/A10$0$0
    3074FNo Summary found for this code170$0$0
    3078FNo Summary found for this code240$0$0
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.50$0$0

    Showing 1–10 of 12

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,96814,680300$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…2,33214,190280$20$38.9K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose710150$30$12.6K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…1960100$20$12.2K
    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…580900120$10$3.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.9961,510110$1$3.5K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…110250$1$800
    3078FNo Summary found for this code232530170$1$10
    3074FNo Summary found for this code334680160$1$10
    10022N/A110130$0$0

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    Mathew MaccumberILRetina Specialist (Ophthalmology) Physician$2.7M$1.1M
    Vivek ChaturvediILRetina Specialist (Ophthalmology) Physician$2.3M$918.3K
    Lawrence KaufmanILPediatric Ophthalmology and Strabismus Specialist Physician Physician$6.3K$2.8M
    Ogbonnaya AneziokoroILNephrology Physician$525.3K$1.8M
    Robert PearlmanILOphthalmology Physician$1M$1.2M
    Farheen Shah-khanILNephrology Physician$626K$1.2M
    Esmilkrys RamirezILObesity Medicine (Preventive Medicine) Physician$135.8K$1.7M
    Michael FriedmanILOtolaryngology Physician$1.8M$6.7K
    Daniel TepperILOphthalmology Physician$203.7K$1.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lutheran Social Services Of IllinoisILMental Health Clinic/Center (Including Community Mental Health Center)$0$51.1M
    Unic Labs LLCILClinical Medical Laboratory$6.7M$0
    Advanced Medical Supply IncILDurable Medical Equipment & Medical Supplies$0$5.4M
    Lydia Home AssociationILEmotionally Disturbed Childrens' Residential Treatment Facility$0$5M
    Hong VoILInterventional Pain Medicine Physician$259.4K$20.4K
    Sophia Zamudio RasofILFamily Medicine Physician$31.4K$174.1K
    Pierpaolo Di CoccoILTransplant Surgery Physician$145.4K$25.7K
    Ramon CastroILInternal Medicine Physician$100.6K$0
    Chicago Pcr Lab Services IncILClinical Medical Laboratory$90.1K$0
    Roger John GolinganILFamily Nurse Practitioner$79.1K$0

    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
    Javier Flores — 2 of 25 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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Javier Flores — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois