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NPI 1457380115 · Chicago, IL · Anatomic Pathology & Clinical Pathology Physician
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Yelena Kalugina is a anatomic pathology & clinical pathology physician provider located in Chicago, Illinois. This profile covers 14 Medicare and 21 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 | Yelena Kalugina |
| Address | 5145 N California Ave |
| City | Chicago |
| State | IL |
| ZIP | 60625 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | July 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $145.9K |
| Medicare | $70.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88121 | The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for computer assisted morphometric analysis, looking at the… | 70 | $340 | $22.4K |
| 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… | 530 | $30 | $15.3K |
| 88313 | The 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,… | 120 | $50 | $6.5K |
| 88112 | Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in… | 120 | $50 | $5.6K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 80 | $70 | $5K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 220 | $20 | $4.8K |
| 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,… | 140 | $30 | $3.7K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 60 | $60 | $3K |
| 88360 | The lab analyst applies a 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, evaluates the… | 60 | $30 | $1.8K |
| 88177 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate to determine immediately whether a satisfactory sample is present to allow for… | 30 | $20 | $750 |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88121 | 4 | 10 | 130 | $270 | $39.9K |
| 88305 | 319 | 580 | 610 | $30 | $38.2K |
| 88341 | 223 | 450 | 210 | $30 | $11.9K |
| 88342 | 206 | 490 | 120 | $40 | $9K |
| 88360 | 135 | 260 | 60 | $60 | $7.7K |
| 88307 | 201 | 390 | 80 | $70 | $6.1K |
| 88112 | 72 | 230 | 80 | $30 | $4.1K |
| 88173 | 97 | 210 | 50 | $60 | $3.9K |
| 88313 | 67 | 280 | 60 | $30 | $3.8K |
| 88172 | 109 | 150 | 40 | $30 | $1.5K |
Showing 1–10 of 14
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.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 3,130 | $30 | $90.8K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 340 | $50 | $16.8K |
| 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,… | 1,030 | $10 | $14.4K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 340 | $20 | $6.5K |
| 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… | 1,830 | $1 | $5.5K |
| 88141 | The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by… | 420 | $10 | $3.4K |
| 88112 | Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in… | 190 | $20 | $2.9K |
| 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. | 470 | $10 | $2.4K |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 540 | $1 | $1.1K |
| 86850 | The lab analyst performs a screening test using patient blood to determine the presence of any antibodies to red blood cells, called RBCs, other than the A and B antigens. | 300 | $1 | $890 |
Showing 1–10 of 21
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
21 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 427 | 740 | 960 | $10 | $75.9K |
| 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… | 307 | 830 | 700 | $1 | $47.5K |
| 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… | 46 | 610 | 820 | $40 | $46.6K |
| 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… | 302 | 360 | 1,100 | $1 | $41.1K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 115 | 290 | 180 | $60 | $28.2K |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 37 | 70 | 570 | $1 | $17K |
| 88141 | The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by… | 19 | 90 | 100 | $10 | $12.2K |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 398 | 410 | 860 | $1 | $11.3K |
| 86850 | The lab analyst performs a screening test using patient blood to determine the presence of any antibodies to red blood cells, called RBCs, other than the A and B antigens. | 169 | 240 | 1,070 | $1 | $11.2K |
| 86901 | The lab analyst performs a test to determine the patient’s blood type within the Rh blood group system using serum plasma as the specimen. | 178 | 270 | 900 | $1 | $8.8K |
Showing 1–10 of 21
Other providers in the same ZIP code as Yelena Kalugina, ranked by combined Medicare and Medicaid revenue.
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