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NPI 1457343931 · Park Ridge, IL · Anatomic Pathology & Clinical Pathology Physician
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John Hamilton is a anatomic pathology & clinical pathology physician provider located in Park Ridge, Illinois. This profile covers 3 Medicare and 193 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 | John Hamilton |
| Address | 1775 Dempster St |
| City | Park Ridge |
| State | IL |
| ZIP | 60068 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | August 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.7M |
| Medicare | $6.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 86077 | The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular… | 70 | $40 | $2.9K |
| 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… | 90 | $30 | $2.7K |
| 88342 | The 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,… | 30 | $30 | $810 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
193 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 26,150 | $60 | $1.6M |
| 0241U | N/A | 15,150 | $80 | $1.1M |
| 80053 | The 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. | 176,390 | $10 | $882K |
| 85025 | A 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… | 209,010 | $1 | $627K |
| 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… | 3,560 | $170 | $598.6K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 116,730 | $1 | $466.9K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 98,320 | $1 | $393.3K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 32,720 | $10 | $327.2K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 11,840 | $20 | $284K |
| 82803 | The lab analyst performs blood gas analysis to measure at least two of the listed parameters. He typically performs an arterial blood gas analysis, called an ABG, using arterial blood inserted into a… | 33,540 | $10 | $234.8K |
Showing 1–10 of 193
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
193 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 23 | 350 | 400 | $70 | $514.7K |
| 0240U | N/A | 17 | 20 | 240 | $120 | $403.4K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 25 | 280 | 1,120 | $30 | $218.9K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 49 | 210 | 680 | $20 | $206.4K |
| 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… | 13 | 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… | 45 | 250 | 450 | $40 | $185.7K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 33 | 360 | 600 | $30 | $165.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 32 | 360 | 630 | $30 | $165K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 63 | 110 | 200 | $40 | $111.1K |
| 0241U | N/A | 2 | 260 | 120 | $100 | $91.8K |
Showing 1–10 of 193
Other providers in the same ZIP code as John Hamilton, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Medlab Technologies LLC | IL | Clinical Medical Laboratory | $7.3M | $87.6K |
| Rahul Khapekar | IL | Family Medicine Physician | $5.2M | $410 |
| Advocate Health And Hospitals Corporation | IL | General Acute Care Hospital | $0 | $3.9M |
| William Menegas | IL | General Practice Dentistry | $0 | $3.4M |
| Cranial Technologies, Inc. | IL | Prosthetic/Orthotic Supplier | $0 | $3.1M |
| Rajendra Gogia | IL | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $893.5K | $1.6M |
| City Of Park Ridge | IL | Land Ambulance | $463.9K | $1.1M |
| Geoffrey Levin | IL | Psychiatry Physician | $89.4K | $842K |
| Mark Brandt | IL | Urology Physician | $691.3K | $25.1K |
| United Imaging & Diagnostics | IL | Radiology Clinic/Center | $473.8K | $164.9K |
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