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NPI 1194981100 · Morton Grove, IL · Rheumatology Physician
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Ami Kothari is a rheumatology physician provider located in Morton Grove, Illinois. This profile covers 41 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ami Kothari |
| Address | 9000 Waukegan Rd |
| City | Morton Grove |
| State | IL |
| ZIP | 60053 |
| Taxonomy | Rheumatology Physician |
| NPI Enumerated | July 30, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $180 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
41 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 43,920 | $20 | $790.6K |
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 180,400 | $1 | $721.6K |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 23,100 | $10 | $254.1K |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 24,990 | $10 | $199.9K |
| 99214 | The 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… | 1,560 | $100 | $148.5K |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 180 | $410 | $72.3K |
| 99215 | The 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… | 290 | $140 | $39.6K |
| 86235 | The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,… | 1,900 | $20 | $32.2K |
| 96372 | A 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… | 1,870 | $10 | $20.5K |
| 20611 | In 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… | 210 | $100 | $20.5K |
Showing 1–10 of 41
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
41 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J3111 | 11 | 30 | 18,010 | $10 | $306.8K |
| J0717 | 2 | 40 | 50,800 | $1 | $243.1K |
| J1602 | 6 | 40 | 11,080 | $10 | $146.9K |
| J0897 | 3 | 410 | 2,520 | $20 | $90.8K |
| J7326 | 5 | 120 | 40 | $400 | $24.7K |
| 86480 | 4 | 20 | 40 | $60 | $23.1K |
| 86235 | 3 | 30 | 270 | $20 | $20.3K |
| 99214 | 70 | 18,540 | 110 | $80 | $17.1K |
| 82306 | 29 | 360 | 50 | $30 | $14.7K |
| 20611 | 85 | 390 | 80 | $80 | $12.2K |
Showing 1–10 of 41
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 30 | $10 | $140 |
| 99214 | The 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… | 60 | $1 | $60 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 11,547 | 14,680 | 300 | $50 | $48.7K |
| 99213 | The 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… | 12,319 | 14,190 | 280 | $20 | $38.9K |
Other providers in the same ZIP code as Ami Kothari, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dehan Home Medical Equipment | IL | Durable Medical Equipment & Medical Supplies | $0 | $5.9M |
| Zenix Labs LLC | IL | Clinical Medical Laboratory | $3.1M | $1M |
| Alejandra Rodriguez-paez | IL | Rheumatology Physician | $2.5M | $90 |
| Edward Kaplan | IL | Hematology & Oncology Physician | $2.4M | $91.6K |
| Ermin Arriola | IL | Physical Medicine & Rehabilitation Physician | $2.4M | $730 |
| Chinyoung Park | IL | Rheumatology Physician | $1.8M | $350 |
| Roop Gupta | IL | Gastroenterology Physician | $237.3K | $1.3M |
| Illinois Sports Medicine & Orthopedic Surgery Center, LLC | IL | Ambulatory Surgical Clinic/Center | $1.1M | $0 |
| Teresa Sosenko | IL | Rheumatology Physician | $863.6K | $0 |
| Ejaz Shamim | IL | Diagnostic Radiology Physician | $34.5K | $540.6K |
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