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    OpenPayerNPI Medicare & MedicaidKeith Lim
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    Keith Lim — Billing Profile & Reimbursement Data

    NPI 1215961123 · Joliet, IL · Obstetrics & Gynecology Physician

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    Keith Lim is a obstetrics & gynecology physician provider located in Joliet, Illinois. This profile covers 7 Medicare and 5 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
    OrganizationKeith Lim
    Address1050 Essington Rd Ste C
    CityJoliet
    StateIL
    ZIP60435
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$19K
    Medicare$11K

    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
    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$60$4.3K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination70$40$2.7K
    99203The provider sees a new 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 provider…20$70$1.7K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory20$50$900
    87480The lab analyst performs a test for Candida species using direct nucleic acid probe technique.20$20$440
    87510The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…20$20$440
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.20$20$440

    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
    992138,96417,39070$60$8.8K
    992033,8546,15030$70$3.8K
    8748051020$20$1.5K
    8751051020$20$1.5K
    8766051020$20$1.5K
    G01017560030$40$1.4K
    Q009114728020$40$1.3K

    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.

    5 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…370$40$16K
    0502FNo Summary found for this code40$40$1.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.10$40$500
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.10$40$500
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…10$20$280

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.355360600$30$165.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.355360630$30$165K
    0502FNo Summary found for this code1,0321,170550$30$48.2K
    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…6,38714,190280$20$38.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…3,2043,33090$10$7.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cornerstone Services IncILMental Health Clinic/Center (Including Community Mental Health Center)$0$23.2M
    Rts Services Unlimited, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$9.9M
    Pinnacle Dermatology, ScILDermatology Physician$0$7.2M
    Trinity Services Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$7M
    Presence Home CareILHome Health Agency$0$5.2M
    Presence Central And Suburban Hospitals NetworkILGeneral Acute Care Hospital$0$4.8M
    James UrbanILAnatomic Pathology & Clinical Pathology Physician$204.1K$4.5M
    Basingers Pharmacy IncILCommunity/Retail Pharmacy$22.9K$4M
    Vna Health CareILFederally Qualified Health Center (FQHC)$0$4M
    Aunt Martha's Health And Wellness, Inc.ILFederally Qualified Health Center (FQHC)$0$3.1M

    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
    Keith Lim — 0 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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Keith Lim — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois