Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Reishus
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Scott Reishus — Billing Profile & Reimbursement Data

    NPI 1245210160 · Downers Grove, IL · Vascular Surgery Physician

    Customize your policy alerts

    Sign up for Scott Reishus — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Scott Reishus is a vascular surgery physician provider located in Downers Grove, Illinois. This profile covers 22 Medicare and 9 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
    OrganizationScott Reishus
    Address3825 Highland Ave
    CityDowners Grove
    StateIL
    ZIP60515
    TaxonomyVascular Surgery Physician
    NPI EnumeratedJanuary 18, 2006

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

    Payer SourceTotal Paid
    Medicare$93.4K
    Medicaid$26.2K

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$850$17K
    37215The provider places an intravascular stent into a cervical carotid artery under imaging guidance. He may place the stent through a percutaneous catheter or via an open incision. He also places an…10$870$12.1K
    34705The provider places an aorto–bi–iliac endograft (a Y–shaped tube graft that extends from inside the aorta down both iliac arteries) to repair the infrarenal aorta or iliac artery for reasons other…10$870$11.3K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…50$200$10K
    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…60$90$5.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$110$4.7K
    93985The provider performs a duplex ultrasound scan of the arteries and veins in both upper extremities to assess vascular supply and venous return in the arm prior to establishing hemodialysis access.20$210$3.4K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral50$60$2.9K
    34812While performing a primary procedure, the provider makes an incision in the groin down to the femoral artery in order to insert an endovascular prosthesis, a tubelike device placed within a vessel.…10$190$2.7K
    22585The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a herniated, or bulging,…10$180$2.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921416,90918,540110$80$17.1K
    3721581020$820$14K
    3470531020$800$12.8K
    2255892020$580$12.8K
    992327,6157,96090$60$12.4K
    9921314,50217,39070$60$8.8K
    9392510137030$120$7.3K
    9388061674040$80$5.6K
    992046,9568,58030$110$5.6K
    992222,0775,73030$100$5.3K

    Showing 1–10 of 22

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…670$10$7.3K
    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…190$40$6.8K
    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…190$20$4.3K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral250$10$2.8K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…330$10$2.6K
    99214The 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…30$40$1.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$20$480
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…30$10$400
    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,…20$20$310

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…12,99914,680300$50$48.7K
    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…8,20014,190280$20$38.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…8671,33050$50$12.7K
    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…9843,27080$40$11.1K
    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,…2,7563,33090$10$7.4K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…3926080$20$7K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…4827050$20$4.1K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…438040$20$2.6K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral97050$20$2.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Scott Reishus, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Russell FiorellaILClinical Pathology/Laboratory Medicine Physician$4K$17.3M
    Ayman RawdaILPediatrics Physician$0$15M
    Ven AduanaILAnatomic Pathology & Clinical Pathology Physician$125.7K$5.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Jack CohenILRetina Specialist (Ophthalmology) Physician$3.8M$445.2K
    Anuj JainILFamily Medicine Physician$140.8K$3.9M
    Raja GillILPsychiatry Physician$372K$3.3M
    Abdulmassih AbdulmassihILFamily Medicine Physician$374.7K$3.3M
    James DiesfeldILInterventional Pain Medicine Physician$32.6K$3.5M
    Vivek ChaturvediILRetina Specialist (Ophthalmology) Physician$2.3M$918.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Byram Healthcare Centers, Inc.ILDurable Medical Equipment & Medical Supplies$0$142.4M
    Hallman Care LLCILClinical Medical Laboratory$16.8M$3.4K
    Village Of Downers GroveILLand Ambulance$518.8K$9.5M
    Lifeline Biosciences LLCILClinical Medical Laboratory$1.7M$7.3M
    Dupage County Diagnostics LLCILClinical Medical Laboratory$0$6.8M
    Advocate Home Care Products IncILHome Infusion Therapy Pharmacy$0$5.4M
    Augustus Labs LLCILClinical Medical Laboratory$475.4K$3.7M
    Cynthia WollenschlagerILInfectious Disease Physician$47.7K$1.5M
    Midwest Center For Day Surgery, LLCILAmbulatory Surgical Clinic/Center$1.4M$70
    Prashanth TamragouriILPsychiatry Physician$420.2K$602.8K

    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
    Scott Reishus — 0 of 22 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 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Scott Reishus — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois