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NPI 1295034759 · Rockford, IL · Gastroenterology Physician
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Altaf Dawood is a gastroenterology physician provider located in Rockford, Illinois. This profile covers 11 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Altaf Dawood |
| Address | 2350 N Rockton Ave Fl 3 |
| City | Rockford |
| State | IL |
| ZIP | 61103 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | March 23, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $44.5K |
| Medicaid | $10.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 100 | $70 | $7.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 40 | $170 | $7.2K |
| 99222 | The 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… | 60 | $100 | $5.8K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 70 | $60 | $4.6K |
| 99204 | The 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… | 40 | $100 | $3.9K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 90 | $40 | $3.7K |
| 43237 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same… | 30 | $120 | $3.7K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 20 | $140 | $2.8K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 40 | $60 | $2.4K |
| 99231 | The 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… | 50 | $40 | $2.1K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 402 | 640 | 60 | $270 | $23.4K |
| 99214 | 9,754 | 18,540 | 110 | $80 | $17.1K |
| 45380 | 391 | 670 | 50 | $160 | $12.7K |
| 99232 | 4,515 | 7,960 | 90 | $60 | $12.4K |
| 99223 | 4,821 | 6,190 | 50 | $140 | $10.4K |
| 43239 | 234 | 680 | 70 | $110 | $9.6K |
| 99204 | 3,658 | 8,580 | 30 | $110 | $5.6K |
| 99222 | 1,514 | 5,730 | 30 | $100 | $5.3K |
| 43237 | 9 | 30 | 20 | $130 | $3.5K |
| 99231 | 743 | 2,140 | 40 | $40 | $2.8K |
Showing 1–10 of 11
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 20 | $420 | $7.6K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 20 | $150 | $2.4K |
| 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… | 30 | $20 | $460 |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 238 | 300 | 70 | $180 | $50.5K |
| 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… | 12,147 | 14,190 | 280 | $20 | $38.9K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 197 | 290 | 30 | $40 | $5.3K |
Other providers in the same ZIP code as Altaf Dawood, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rosecrance Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $43.5M |
| Stepping Stones Of Rockford, Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $8.4K | $38.2M |
| Rosecrance Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $3.4M |
| Julie Kafka | IL | Family Medicine Physician | $223.1K | $384.1K |
| Walid Abdallah | IL | Ophthalmology Physician | $547.9K | $0 |
| Gregory Nowak | IL | Cardiovascular Disease Physician | $206K | $152K |
| Rose Stocker | IL | Family Medicine Physician | $71.5K | $245.3K |
| Faisal Raja | IL | Neurology Physician | $29.5K | $194.3K |
| Abdullah Altayeh | IL | Pulmonary Disease Physician | $92.6K | $81.1K |
| Diane Boone | IL | Ophthalmology Physician | $166.7K | $0 |
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