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    OpenPayerNPI Medicare & MedicaidJohn Frederiksen
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    John Frederiksen — Billing Profile & Reimbursement Data

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    NPI 1396987277 · Chicago, IL · Anatomic Pathology & Clinical Pathology Physician

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    John Frederiksen is a anatomic pathology & clinical pathology physician provider located in Chicago, Illinois. This profile covers 9 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Frederiksen
    Address840 S. Wood St.
    CityChicago
    StateIL
    ZIP60612
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMarch 24, 2009

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

    Payer SourceTotal Paid
    Medicaid$32.7K
    Medicare$7.6K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83020The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis.150$10$2.1K
    88305The 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…50$30$1.3K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.20$70$1K
    88188The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.20$50$870
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.40$20$780
    85097The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.20$40$700
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…20$30$530
    88311The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.20$10$190
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…10$10$130

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305550580610$30$38.2K
    88342475490120$40$9K
    83020310100$10$7.3K
    88189657070$70$5.8K
    8831327428060$30$3.8K
    88188253030$50$2.1K
    85097619030$40$2K
    850607115030$20$1.7K
    8831127830050$10$680

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83020The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis.3,460$10$17.3K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.640$10$8.4K
    88188The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.90$40$3.9K
    88305The 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$1.9K

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305The 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…529610820$40$46.6K
    83020The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis.660280$10$9.6K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.26100150$10$5.8K
    88188The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.11040$40$2K

    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
    John Frederiksen — 0 of 9 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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    John Frederiksen — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois