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NPI 1326429747 · Chicago, IL · Internal Medicine Physician
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Nischal Raya is a internal medicine physician provider located in Chicago, Illinois. This profile covers 21 Medicare and 4 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 | Nischal Raya |
| Address | 1653 W Congress Pkwy |
| City | Chicago |
| State | IL |
| ZIP | 60612 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 11, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $179.5K |
| Medicaid | $52.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 320 | $170 | $54.7K |
| 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… | 360 | $100 | $34.7K |
| 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… | 310 | $70 | $20K |
| 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… | 170 | $100 | $17.4K |
| 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… | 120 | $100 | $11.8K |
| 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… | 70 | $130 | $9.7K |
| 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… | 140 | $70 | $9.7K |
| 99203 | The 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… | 40 | $90 | $3.9K |
| 31628 | The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance. | 30 | $100 | $2.7K |
| 31652 | The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider… | 20 | $180 | $2.7K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99233 | 969 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 8,960 | 18,540 | 110 | $80 | $17.1K |
| 99291 | 79 | 2,940 | 50 | $170 | $13.4K |
| 99232 | 1,485 | 7,960 | 90 | $60 | $12.4K |
| 99458 | 100 | 100 | 240 | $30 | $12.3K |
| 99457 | 145 | 160 | 130 | $40 | $10.9K |
| 99454 | 146 | 150 | 130 | $40 | $10.8K |
| 99223 | 5,502 | 6,190 | 50 | $140 | $10.4K |
| 99213 | 5,490 | 17,390 | 70 | $60 | $8.8K |
| 99204 | 1,646 | 8,580 | 30 | $110 | $5.6K |
Showing 1–10 of 21
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 240 | $130 | $31.1K |
| 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… | 270 | $60 | $15.3K |
| 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… | 180 | $30 | $5.2K |
| 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… | 10 | $80 | $1000 |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 327 | 1,000 | 100 | $110 | $47.3K |
| 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… | 1,706 | 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… | 2,550 | 4,800 | 210 | $30 | $29.3K |
| 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… | 1,252 | 1,330 | 50 | $50 | $12.7K |
Other providers in the same ZIP code as Nischal Raya, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cook County | IL | Multi-Specialty Clinic/Center | $0 | $85.9M |
| Frederick Behm | IL | Anatomic Pathology & Clinical Pathology Physician | $440 | $32.3M |
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $26.1M |
| Sahar Alrayyes | IL | Pediatric Dentistry | $0 | $20.3M |
| Western Labs Company | IL | Clinical Medical Laboratory | $18.4M | $8.4K |
| Susan Rowan | IL | Dentist | $0 | $15.4M |
| Advance Lab Company | IL | Clinical Medical Laboratory | $14.5M | $0 |
| Robert Decresce | IL | Anatomic Pathology & Clinical Pathology Physician | $62K | $12.4M |
| The Board Of Trustees Of The University Of Illinois | IL | Internal Medicine Physician | $0 | $11.9M |
| Rush University Medical Center | IL | Early Intervention Provider Agency | $0 | $10.1M |
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