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NPI 1215964523 · Niles, IL · Foot & Ankle Surgery Podiatrist
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Paul Santangelo is a foot & ankle surgery podiatrist provider located in Niles, Illinois. This profile covers 15 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Paul Santangelo |
| Address | 8145 N Milwaukee Ave |
| City | Niles |
| State | IL |
| ZIP | 60714 |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| NPI Enumerated | June 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $164.5K |
| Medicaid | $104.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 1,480 | $70 | $102K |
| 11420 | The provider excises a noncancerous lesion, excluding a skin tag, of 0.5 cm or less in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals. | 160 | $90 | $14.4K |
| 99203 | The 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… | 110 | $80 | $8.9K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 150 | $60 | $8.3K |
| 10060 | The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 90 | $100 | $8.2K |
| 11755 | This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds. Each one is a separate procedure. | 70 | $90 | $6.3K |
| 11750 | The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete. | 40 | $130 | $4.4K |
| 10061 | The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 20 | $180 | $4.2K |
| 99345 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75… | 20 | $170 | $3.2K |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 100 | $20 | $1.8K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
4 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… | 4,060 | $20 | $60.9K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 80 | $420 | $31.6K |
| 99203 | The 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… | 350 | $30 | $11.5K |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 30 | $20 | $430 |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 26 | 40 | 320 | $220 | $127.9K |
| 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… | 941 | 14,190 | 280 | $20 | $38.9K |
| 99203 | The 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… | 622 | 3,270 | 80 | $40 | $11.1K |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 37 | 40 | 170 | $10 | $7.7K |
Other providers in the same ZIP code as Paul Santangelo, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| American Scientific Laboratory Inc | IL | Clinical Medical Laboratory | $482.2K | $24M |
| Ace Medical Supply LLC | IL | Durable Medical Equipment & Medical Supplies | $0 | $10.3M |
| Village Of Niles | IL | Land Ambulance | $595.4K | $8.3M |
| Hannan Lab Inc | IL | Clinical Medical Laboratory | $7.4M | $209.9K |
| Kingsway Home Health Services,inc | IL | Home Health Agency | $0 | $7.3M |
| Spectrum Lab Corp | IL | Clinical Medical Laboratory | $4.8M | $44.6K |
| Rumya Rao | IL | Retina Specialist (Ophthalmology) Physician | $1.7M | $2M |
| Matthew Wessel | IL | Retina Specialist (Ophthalmology) Physician | $2.3M | $1.3M |
| Asian Human Services Family Health Center, Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $3.4M |
| John Eklund | IL | Hematology & Oncology Physician | $1.3M | $8.4K |
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