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.

Fullerton Kimball Medical & Surgical Center (NPI 1205964103)

Field	Value
Entity Type	Organization
Organization	Fullerton Kimball Medical & Surgical Center
Address	3412 W Fullerton Ave
City	Chicago
State	IL
ZIP	60647
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicare	$993.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	30	$19,770	$553.5K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	100	$3,910	$394.7K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	90	$280	$24.4K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	60	$200	$11.2K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	40	$260	$9.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Fullerton Kimball Medical & Surgical Center — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	3	40	20	$7,500	$135.1K
63650	2	40	40	$1,760	$84.4K
G0260	10	20	70	$210	$21.5K
64483	113	280	70	$180	$20.8K
64493	144	240	50	$170	$11.8K

Nearby Providers

Other providers in the same ZIP code as Fullerton Kimball Medical & Surgical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Infant Welfare Society Of Chicago	IL	Federally Qualified Health Center (FQHC)	$0	$29.6M
Erie Family Health Center, Inc	IL	Federally Qualified Health Center (FQHC)	$0	$12.7M
Healthcare Alternative Systems, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.3M
Flavia Lamberghini	IL	Pediatric Dentistry	$0	$7.9M
Paul Pladziewicz	IL	Dentist	$0	$4.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$4.7M
Primecare Community Health, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Rabeh Salamah-mohammad	IL	General Practice Dentistry	$0	$3.2M
Lawrence Kaufman	IL	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$6.3K	$2.8M
Paras Parekh	IL	Foot & Ankle Surgery Podiatrist	$133.1K	$305.5K

Fullerton Kimball Medical & Surgical Center — Billing Profile & Reimbursement Data

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Fullerton Kimball Medical & Surgical Center — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References