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.

Susan Lupo (NPI 1326037433)

Field	Value
Entity Type	Individual
Organization	Susan Lupo
Address	1051 W Rand Rd
City	Arlington Heights
State	IL
ZIP	60004
Taxonomy	Gynecology Physician
NPI Enumerated	October 20, 2005

Payer Source	Total Paid
Medicare	$67.7K
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
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…	450	$80	$37.7K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	240	$40	$10.1K
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	380	$20	$6.8K
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…	60	$100	$5.5K
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…	70	$60	$4.3K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	20	$80	$1.9K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	20	$80	$1.5K

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

Susan Lupo — 2 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
99214	2,192	18,540	110	$80	$17.1K
99213	8,964	17,390	70	$60	$8.8K
99204	2,461	8,580	30	$110	$5.6K
G0328	3	80	40	$20	$2.2K
76830	157	400	20	$60	$1.6K
76856	148	300	20	$50	$1.5K
Q0091	2	280	20	$40	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Randall Kahan	IL	Obstetrics & Gynecology Physician	$75.4K	$135.2K
Michelle Luthringshausen	IL	Obstetrics & Gynecology Physician	$74K	$0
Claudine Kasinak	IL	Obstetrics & Gynecology Physician	$37.8K	$800

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Alexian Brothers Center For Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Hearing Screening Associates LLC	IL	Audiologist	$0	$4.4M
Northwest Home Care, Inc.	IL	Home Health Agency	$0	$4.2M
Cook County	IL	Primary Care Clinic/Center	$0	$3.8M
Family Medical Supplies, Inc	IL	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Omar Hassan	IL	Ophthalmology Physician	$1.1M	$0
Michaela Klein	IL	Surgery Physician	$944.5K	$0
Jimmy Varghese	IL	Rheumatology Physician	$632.9K	$12.9K
Adam Prickett	IL	Ophthalmology Physician	$538.2K	$0

Susan Lupo — Billing Profile & Reimbursement Data

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Susan Lupo — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References