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NPI 1366491193 · Mount Vernon, IL · Family Medicine Physician
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Jacques Papazian is a family medicine physician provider located in Mount Vernon, Illinois. This profile covers 11 Medicare and 9 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 | Jacques Papazian |
| Address | 4117 S Water Tower Pl |
| City | Mount Vernon |
| State | IL |
| ZIP | 62864 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | May 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $102.5K |
| Medicare | $66.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 280 | $70 | $18.5K |
| 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… | 190 | $80 | $14.1K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 50 | $140 | $6.7K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 160 | $30 | $5.3K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 80 | $50 | $3.9K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 40 | $90 | $3.3K |
| 31577 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He then removes any foreign bodies present inside the larynx. | 20 | $220 | $3.2K |
| 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,… | 80 | $40 | $3.2K |
| 69020 | The provider performs incision and drainage of an abscess, i.e., a collection of pus, from inside the external auditory canal. The provider performs this procedure to relieve pain and prevent further… | 20 | $170 | $2.8K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 20 | $140 | $2.5K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 16,152 | 18,540 | 110 | $80 | $17.1K |
| 31231 | 145 | 240 | 60 | $130 | $12.5K |
| 99213 | 2,365 | 17,390 | 70 | $60 | $8.8K |
| 31575 | 172 | 280 | 50 | $90 | $5.9K |
| 99203 | 202 | 6,150 | 30 | $70 | $3.8K |
| 31577 | 1 | 10 | 20 | $220 | $3.2K |
| 69020 | 1 | 10 | 20 | $170 | $2.8K |
| 69210 | 98 | 560 | 30 | $30 | $2.7K |
| 69436 | 1 | 10 | 20 | $150 | $2.5K |
| 99212 | 856 | 3,950 | 30 | $40 | $2.4K |
Showing 1–10 of 11
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,230 | $40 | $43.1K |
| 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… | 1,700 | $30 | $42.6K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 130 | $60 | $7.4K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 50 | $100 | $4.8K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 110 | $30 | $3K |
| 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,… | 60 | $20 | $1.3K |
| 1159F | No Summary found for this code | 30 | $0 | $0 |
| 1160F | No Summary found for this code | 40 | $0 | $0 |
| 3288F | No Summary found for this code | 40 | $0 | $0 |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,436 | 14,190 | 280 | $20 | $38.9K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 176 | 480 | 70 | $90 | $24.5K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 23 | 40 | 60 | $110 | $21.4K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 352 | 930 | 60 | $40 | $12.2K |
| 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… | 165 | 3,270 | 80 | $40 | $11.1K |
| 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,… | 1,987 | 3,330 | 90 | $10 | $7.4K |
| 1159F | No Summary found for this code | 357 | 470 | 120 | $1 | $1 |
| 1160F | No Summary found for this code | 401 | 560 | 130 | $1 | $1 |
| 3288F | No Summary found for this code | 34 | 50 | 70 | $0 | $0 |
Other providers in the same ZIP code as Jacques Papazian, ranked by combined Medicare and Medicaid revenue.
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