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NPI 1326094194 · Riverwoods, IL · Internal Medicine Physician
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Tom Klein is a internal medicine physician provider located in Riverwoods, Illinois. This profile covers 18 Medicare and 16 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 | Tom Klein |
| Address | 1105 Milwaukee Ave |
| City | Riverwoods |
| State | IL |
| ZIP | 60015 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $433.7K |
| Medicare | $142.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99424 | A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which… | 1,080 | $60 | $64.6K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 220 | $100 | $21.2K |
| 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… | 160 | $90 | $14.6K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 100 | $100 | $10.2K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and… | 90 | $90 | $7.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 40 | $80 | $3.7K |
| 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… | 50 | $60 | $2.9K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 20 | $160 | $2.7K |
| 99239 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the… | 30 | $100 | $2.5K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 70 | $40 | $2.5K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 1,133 | 1,400 | 180 | $80 | $29.5K |
| 99424 | 3 | 20 | 90 | $60 | $26.5K |
| 99349 | 224 | 730 | 100 | $90 | $20.7K |
| G0181 | 79 | 170 | 70 | $80 | $20.1K |
| 99233 | 2,900 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 7,261 | 18,540 | 110 | $80 | $17.1K |
| 99490 | 490 | 660 | 150 | $50 | $13.2K |
| 99232 | 5,606 | 7,960 | 90 | $60 | $12.4K |
| 99305 | 599 | 610 | 60 | $100 | $11.1K |
| 99239 | 2,041 | 2,610 | 70 | $90 | $8.4K |
Showing 1–10 of 18
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 7,430 | $20 | $178.3K |
| 99336 | N/A | 2,380 | $40 | $90.6K |
| 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… | 1,100 | $60 | $69.5K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 460 | $60 | $25.6K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 820 | $30 | $22K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 430 | $30 | $14.3K |
| 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… | 370 | $20 | $7.3K |
| 99424 | A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which… | 450 | $20 | $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… | 120 | $40 | $5K |
| 99315 | The provider sees a patient for nursing facility discharge management requiring 30 minutes or less. | 200 | $30 | $5K |
Showing 1–10 of 16
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
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 3,308 | 14,680 | 300 | $50 | $48.7K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 160 | 190 | 160 | $60 | $37.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 47 | 1,540 | 410 | $20 | $30.2K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 905 | 3,830 | 210 | $40 | $29.4K |
| 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… | 1,864 | 4,800 | 210 | $30 | $29.3K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 649 | 1,590 | 360 | $10 | $23K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 123 | 410 | 170 | $30 | $19.1K |
| 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… | 391 | 1,330 | 50 | $50 | $12.7K |
| 99315 | The provider sees a patient for nursing facility discharge management requiring 30 minutes or less. | 3 | 10 | 90 | $30 | $9.7K |
| 99239 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the… | 500 | 1,530 | 60 | $40 | $8.2K |
Showing 1–10 of 16
Other providers in the same ZIP code as Tom Klein, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Divya Singh-behl | IL | Dermatology Physician | $601.1K | $0 |
| Jonathan Dalton | IL | Dermatology Physician | $583.5K | $0 |
| Walgreen Co | IL | Pharmacy | $563.9K | $0 |
| Richard Sherman | IL | Orthopaedic Surgery Physician | $397.8K | $0 |
| Bryan Waxman | IL | Orthopaedic Surgery Physician | $361.3K | $0 |
| Charles Lettvin | IL | Orthopaedic Surgery Physician | $357K | $0 |
| Diany Morales | IL | Ophthalmology Physician | $107.7K | $205.3K |
| Harry Papagianis | IL | Foot & Ankle Surgery Podiatrist | $283.4K | $400 |
| Robert Wolf | IL | Internal Medicine Physician | $264.6K | $4.8K |
| Eric Beatty | IL | Podiatrist | $243.9K | $0 |
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