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.

Leslie Spencer (NPI 1316051097)

Field	Value
Entity Type	Individual
Organization	Leslie Spencer
Address	40 S Clay St # 100
City	Hinsdale
State	IL
ZIP	60521
Taxonomy	Gynecology Physician
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicare	$13.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	90	$40	$3.5K
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…	60	$60	$3.4K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	70	$50	$3.1K
99212	The 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,…	50	$40	$2.1K
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	30	$20	$520
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	30	$20	$520
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	30	$20	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Leslie Spencer — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	10,140	17,390	70	$60	$8.8K
99212	1,358	3,950	30	$40	$2.4K
87480	4	10	20	$20	$1.5K
87510	4	10	20	$20	$1.5K
87660	4	10	20	$20	$1.5K
G0101	38	600	30	$40	$1.4K
Q0091	24	280	20	$40	$1.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paramjit Chopra	IL	Vascular & Interventional Radiology Physician	$4.7M	$82.9K
Joann Hutto	IL	Anatomic Pathology & Clinical Pathology Physician	$177.8K	$2.5M
Raphael Borok	IL	Anatomic Pathology & Clinical Pathology Physician	$153.6K	$2.3M
Hinsdale Surgical Center, LLC	IL	Ambulatory Surgical Clinic/Center	$1.2M	$0
Sudarshan Sharma	IL	Gynecologic Oncology Physician	$1.1M	$330
Scott Zahner	IL	MOHS-Micrographic Surgery Physician	$878.4K	$0
Collins Fitzpatrick	IL	Physical Medicine & Rehabilitation Physician	$280.2K	$518.1K
Steven Goulder	IL	MOHS-Micrographic Surgery Physician	$749.4K	$0
Farooq Khan	IL	Interventional Pain Medicine Physician	$578.9K	$260
Ghassan Aldurra	IL	Psychiatry Physician	$192.7K	$359.3K

Leslie Spencer — Billing Profile & Reimbursement Data

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Leslie Spencer — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References