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    OpenPayerNPI Medicare & MedicaidCesar Morales
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    Cesar Morales — Billing Profile & Reimbursement Data

    NPI 1437228731 · Chicago, IL · Internal Medicine Physician

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    Cesar Morales is a internal medicine physician provider located in Chicago, Illinois. This profile covers 43 Medicare and 36 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
    OrganizationCesar Morales
    Address1349 N Western Ave
    CityChicago
    StateIL
    ZIP60622
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$943.6K
    Medicare$353.3K

    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,090$90$100.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit210$130$28.5K
    99213The 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…450$60$27.3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…120$150$18.4K
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg3,550$10$17.8K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…200$80$16.8K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…160$80$13.6K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…420$30$12.1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…640$20$10.3K
    84480The lab analyst performs a test to measure total T3 in patient blood.640$10$8.9K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J732021403,940$10$118K
    93306643930230$70$21.8K
    9921423318,540110$80$17.1K
    823063636050$30$14.7K
    G04395294,03070$130$13.6K
    99490544660150$50$13.2K
    2061110739080$80$12.2K
    844433153080$20$11K
    8006150570100$10$10.1K
    8005311881090$10$9.4K

    Showing 1–10 of 43

    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…12,000$40$480.1K
    99213The 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…4,180$30$104.6K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…3,080$10$43.1K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…2,530$10$32.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.3,030$10$27.2K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.2,260$10$24.8K
    84480The lab analyst performs a test to measure total T3 in patient blood.2,780$10$22.2K
    82746The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…2,220$10$22.2K
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.2,760$10$22.1K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.260$90$21.9K

    Showing 1–10 of 36

    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

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.241740960$10$75.9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…149530840$10$73.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…77370560$10$60.5K
    99214The 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…12414,680300$50$48.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…267830700$1$47.5K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.132540710$10$40.6K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.1423101,690$1$40.3K
    99213The 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…91914,190280$20$38.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…97190160$60$37.3K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.63290620$10$30K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer Bellucci JacksonILFamily Medicine Physician$260.2K$18.9M
    Nada AldallalILPediatrics Physician$0$9.5M
    Ven AduanaILAnatomic Pathology & Clinical Pathology Physician$125.7K$5.9M
    Saad AhmadILOphthalmology Physician$3.3M$2.4M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Michael AppiagyeiILInternal Medicine Physician$52.7K$5.1M
    Veronika KroinILPediatrics Physician$0$4.7M
    Mohamed AdenwallaILOphthalmology Physician$2.3M$2.4M
    James UrbanILAnatomic Pathology & Clinical Pathology Physician$204.1K$4.5M
    Michelangelo MilanoILAnatomic Pathology & Clinical Pathology Physician$123.8K$4.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Erie Family Health Center, IncILFederally Qualified Health Center (FQHC)$0$143M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$11.3M
    Erie Family Health Center IncILFederally Qualified Health Center (FQHC)$0$11.2M
    Orbit Medical Of Chicago LLCILDurable Medical Equipment & Medical Supplies$0$10.7M
    Erie Family Health Center IncILFederally Qualified Health Center (FQHC)$0$9.5M
    Primecare Community Health IncILFederally Qualified Health Center (FQHC)$0$8.5M
    Primecare Community Health IncILFederally Qualified Health Center (FQHC)$0$5.3M
    Ayman JabrILFamily Medicine Physician$193.6K$4.3M
    Presence Chicago Hospitals NetworkILGeneral Acute Care Hospital$0$4.4M
    Lubov KlemineILFamily Medicine Physician$2.3K$3.6M

    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
    Cesar Morales — 3 of 25 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Cesar Morales — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois