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.

Ann & Robert H. Lurie Children's Hospital Of Chicago (NPI 1235234535)

Ann & Robert H. Lurie Children's Hospital Of Chicago is a children's hospital provider located in Chicago, Illinois. This profile covers 0 Medicare and 257 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ann & Robert H. Lurie Children's Hospital Of Chicago
Address	225 E Chicago Ave # 44
City	Chicago
State	IL
ZIP	60611
Taxonomy	Children's Hospital
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

257 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	24,100	$110	$2.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	13,650	$50	$668.8K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	4,640	$120	$571K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	4,580	$100	$444.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1,870	$90	$170K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,310	$120	$156.7K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	9,640	$20	$144.6K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	6,090	$20	$103.5K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	440	$230	$100.3K
V5261	Hearing aid, digital, binaural, bte	150	$630	$96.3K

Showing 1–10 of 257

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Ann & Robert H. Lurie Children's Hospital Of Chicago — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

257 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	61	70	570	$50	$565.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	70	350	400	$70	$514.7K
87799	The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…	7	20	500	$30	$399.9K
92586	N/A	8	10	810	$40	$261.7K
V5160	Dispensing fee, binaural	25	40	190	$350	$225.1K
V5261	Hearing aid, digital, binaural, bte	9	20	120	$710	$205K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	96	250	450	$40	$185.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	26	1,220	540	$60	$179.4K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	9	10	40	$630	$177.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	123	360	600	$30	$165.1K

Showing 1–10 of 257

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rehabilitation Institute Of Chicago	IL	Rehabilitation Hospital	$0	$7M
Integrated Rehab Consultants LLC	IL	Physical Medicine & Rehabilitation Physician	$0	$4.3M
Mary Mulcahy	IL	Medical Oncology Physician	$3.2M	$51.3K
Rukhsana Mirza	IL	Ophthalmology Physician	$1.8M	$276.8K
Jayesh Mehta	IL	Hematology (Internal Medicine) Physician	$1.9M	$204.4K
Sheetal Kircher	IL	Medical Oncology Physician	$1.6M	$6.7K
Manjot Gill	IL	Ophthalmology Physician	$1.4M	$240.5K
Arthur Mandelin	IL	Rheumatology Physician	$1.2M	$361.3K
Jaideep Sohi	IL	Nuclear Radiology Physician	$1.5M	$6.9K
Alice Lyon	IL	Ophthalmology Physician	$1.4M	$30K

Ann & Robert H. Lurie Children's Hospital Of Chicago — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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