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NPI 1366483182 · Evanston, IL · Anatomic Pathology & Clinical Pathology Physician
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Karen Kaul is a anatomic pathology & clinical pathology physician provider located in Evanston, Illinois. This profile covers 2 Medicare and 76 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 | Karen Kaul |
| Address | 2650 Ridge Ave |
| City | Evanston |
| State | IL |
| ZIP | 60201 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | June 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $16.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0452 | Molecular pathology procedure; physician interpretation and report | 380 | $40 | $14.3K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 70 | $30 | $2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
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.
76 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 11,480 | $20 | $252.4K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 11,380 | $20 | $250.3K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 720 | $170 | $122.6K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 24,070 | $10 | $120.4K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 4,530 | $30 | $113.3K |
| 87040 | The lab analyst performs a bacterial culture on blood, and isolates and presumptively identifies any bacteria that grow on selected aerobic media. This code also includes work for anaerobic culture,… | 10,150 | $10 | $101.5K |
| 87081 | The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism. | 22,080 | $1 | $66.2K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 3,740 | $20 | $56K |
| 86235 | The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,… | 1,210 | $40 | $47K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 5,050 | $10 | $45.5K |
Showing 1–10 of 76
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
76 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 17 | 50 | 710 | $70 | $1.2M |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 34 | 80 | 530 | $130 | $505.1K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 44 | 170 | 150 | $200 | $190.9K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 31 | 250 | 450 | $40 | $185.7K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 8 | 110 | 150 | $40 | $184.1K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 23 | 360 | 600 | $30 | $165.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 23 | 360 | 630 | $30 | $165K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 28 | 160 | 300 | $20 | $145.2K |
| 87536 | A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load. | 35 | 50 | 290 | $50 | $94.7K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 15 | 140 | 400 | $20 | $64.8K |
Showing 1–10 of 76
Other providers in the same ZIP code as Karen Kaul, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Evanston | IL | Land Ambulance | $766.7K | $18.1M |
| Peer Services Inc | IL | Substance Use Disorder Rehabilitation Clinic/Center | $64.8K | $936.3K |
| Lina Costelloe | IL | Clinical Social Worker | $149.9K | $735.4K |
| Julio Cordero | IL | Nuclear Medicine Physician | $719.3K | $33.5K |
| Andrew Griffin | IL | Diagnostic Radiology Physician | $485.3K | $266K |
| Mehraboon Irani | IL | Blood Banking & Transfusion Medicine Physician | $4.6K | $677.4K |
| Aleksandrs Kalnins | IL | Neuroradiology Physician | $139.9K | $463.1K |
| Michael Musacchio | IL | Neurological Surgery Physician | $398.2K | $430 |
| Rajeev Polasani | IL | Diagnostic Radiology Physician | $200K | $195.8K |
| Matthew Walker | IL | Diagnostic Radiology Physician | $176.2K | $213.7K |
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