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    OpenPayerNPI Medicare & MedicaidMary Keller
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    Mary Keller — Billing Profile & Reimbursement Data

    NPI 1275567703 · Rockford, IL · Surgery Physician

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    Mary Keller is a surgery physician provider located in Rockford, Illinois. This profile covers 14 Medicare and 3 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
    OrganizationMary Keller
    Address5668 E State St
    CityRockford
    StateIL
    ZIP61108
    TaxonomySurgery Physician
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicare$76.9K
    Medicaid$33.2K

    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.

    14 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…600$50$30.4K
    97598After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…840$20$15.9K
    19125The provider excises a single lesion previously identified by a preoperative radiological marker through an open incision.10$370$4.8K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…180$30$4.7K
    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…70$70$4.5K
    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,…90$40$3.3K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…20$170$2.5K
    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$80$2.5K
    99204The provider sees a new 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 provider…20$100$2.1K
    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…20$100$1.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921415,02018,540110$80$17.1K
    1104246148090$70$10.1K
    9921366517,39070$60$8.8K
    975974733060$60$5.9K
    992045,8868,58030$110$5.6K
    1912541010$420$5.4K
    992224,1965,73030$100$5.3K
    38525437020$230$4.6K
    992031,3496,15030$70$3.8K
    9759813060$20$3.5K

    Showing 1–10 of 14

    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.

    3 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…780$40$30.3K
    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,…120$20$2.1K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$30$590

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4,43214,190280$20$38.9K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…75184090$20$13.6K
    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,…1,4713,33090$10$7.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Anthony Medical CenterILHome Health Agency$0$6.6M
    Osf Healthcare SystemILHome Health Agency$0$3.4M
    Michael XuCANeurology Physician$42.7K$621.8K
    Tiffany RadkeMNAcute Care Nurse Practitioner$628.8K$0
    Anupama UpadhyayIAPsychiatry Physician$31.6K$560.4K
    Mark OyerILOrthopaedic Surgery Physician$465.8K$910
    Matthew KeeneILPrimary Podiatric Medicine Podiatrist$144.7K$297.2K
    Jonathan FergusonILPlastic Surgery within the Head & Neck (Otolaryngology) Physician$79.5K$342.1K
    John BottrosILOrthopaedic Surgery Physician$376.5K$5.8K
    Timothy JessenILAllergy & Immunology Physician$20.4K$283.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edwin Gonzalez MontoyaILOral and Maxillofacial Surgery (Dentist)$0$7.9M
    Adapt Of Illinois, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$6M
    Shweta PatelILGeneral Practice Dentistry$0$5.5M
    Rosecrance IncILSubstance Use Disorder Rehabilitation Clinic/Center$0$4.9M
    Remedies Renewing LivesILSubstance Use Disorder Rehabilitation Clinic/Center$78.8K$4.3M
    Integrated Homecare Services, Inc.ILOxygen Equipment & Supplies (DME)$0$3.4M
    Jason GrinterILDentist$0$3.2M
    Sameer AnsarILEndocrinology, Diabetes & Metabolism Physician$97.9K$189.3K
    Charles AmbelangILDiagnostic Radiology Physician$128.5K$146K
    Sujit ShresthaILAnatomic Pathology & Clinical Pathology Physician$27.6K$218.4K

    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
    Mary Keller — 2 of 14 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
    Mary Keller — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois