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    Thomas Zabiega — Billing Profile & Reimbursement Data

    NPI 1386755916 · Palos Heights, IL · Neurology Physician

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    Thomas Zabiega is a neurology physician provider located in Palos Heights, Illinois. This profile covers 10 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Zabiega
    Address12251 S 80th Ave
    CityPalos Heights
    StateIL
    ZIP60463
    TaxonomyNeurology Physician
    NPI EnumeratedAugust 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$38.1K
    Medicaid$960

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth120$110$13K
    G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth100$80$7.1K
    99222The 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…80$90$6.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$120$3.7K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…40$40$1.8K
    99232The 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…30$60$1.5K
    99233The 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…20$90$1.3K
    99204The 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…10$90$1.1K
    G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth20$60$930
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…20$40$670

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992335,7915,990100$100$18.7K
    992326,7967,96090$60$12.4K
    992233,9316,19050$140$10.4K
    992047,5438,58030$110$5.6K
    992221,0195,73030$100$5.3K
    9581910313030$100$5K
    G042611020$100$4.1K
    G040771020$60$4K
    958166114040$70$3.3K
    G042522020$70$3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The 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$10$650
    99222The 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…20$20$310

    Medicaid: Competitive Analysis & Benchmarks

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99232The 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…3,6574,800210$30$29.3K
    99222The 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…9441,33050$50$12.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Indiana University Health Southern Indiana Physicians, LLCINMulti-Specialty Clinic/Center$0$69.5M
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    Michael MorrisMDDiagnostic Radiology Physician$12M$0
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$11.3M
    Penn State Health Medical Group, LLCPAPediatrics Physician$0$7.7M
    St. Joseph Medical GroupPAFamily Medicine Physician$0$7.2M
    Nevada City HospitalMORural Acute Care Hospital$0$5.8M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$4.3M
    Leonid ShunyakovMOMedical Oncology Physician$3.3M$0
    Sylvia TrevinoILPediatrics Physician$0$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radius Foundation, IncILSubstance Use Disorder Rehabilitation Clinic/Center$0$3.8M
    Noorun KhanILInternal Medicine Physician$272.1K$3.1M
    High Technology IncILRadiology Clinic/Center$3.1M$10
    Helen (min) ChenILAnatomic Pathology & Clinical Pathology Physician$108.8K$2.9M
    Palos Surgicenter, LLCILAmbulatory Surgical Clinic/Center$1.7M$0
    Ahmed ElgamalILPhysical Medicine & Rehabilitation Physician$974.1K$239.8K
    Chiedozie MkpoluluILDiagnostic Radiology Physician$676K$59.3K
    Elizabeth GheraILFamily Nurse Practitioner$639.9K$9.9K
    Abdul-hamid ShahbainILInternal Medicine Physician$461.9K$168.2K
    Daniel FrankelILDiagnostic Radiology Physician$551.7K$32.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Thomas Zabiega — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Thomas Zabiega — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois