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    OpenPayerNPI Medicare & MedicaidDavid Crabtree
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    David Crabtree — Billing Profile & Reimbursement Data

    NPI 1487605291 · Springfield, IL · Pulmonary Disease Physician

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    David Crabtree is a pulmonary disease physician provider located in Springfield, Illinois. This profile covers 31 Medicare and 18 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
    OrganizationDavid Crabtree
    Address2151 W White Oaks Dr
    CitySpringfield
    StateIL
    ZIP62704
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 15, 2006

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

    Payer SourceTotal Paid
    Medicare$217.4K
    Medicaid$114.5K

    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.

    31 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…780$90$69.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…250$130$31.9K
    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…490$50$22.9K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…450$30$12.2K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…440$30$11.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.240$50$10.9K
    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…170$60$10.8K
    99439The 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…250$40$9.1K
    94644The provider administers inhalation aerosol treatment with medication for up to an hour. He performs the procedure to treat acute airway obstruction.170$40$7.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…430$10$4.3K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99487517080$100$20.1K
    9921465018,540110$80$17.1K
    99490113660150$50$13.2K
    992154026,24040$120$10.1K
    992134,42417,39070$60$8.8K
    94644110170$40$7.1K
    963656741090$50$6.6K
    994395132070$40$6K
    992051,3702,73030$160$5.7K
    906621,9943,06050$70$4.9K

    Showing 1–10 of 31

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…1,580$20$34.8K
    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…1,740$20$33.1K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…700$20$10.6K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.1,170$10$10.5K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,000$10$6K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…1,110$10$5.5K
    J0280Injection, aminophyllin, up to 250 mg1,150$1$3.5K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…500$10$3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…140$20$2.8K
    70220The provider performs X–ray examination of the paranasal sinuses by obtaining a minimum of three views. He performs the procedure for assessment of sinusitis.120$10$1.5K

    Showing 1–10 of 18

    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

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,04214,680300$50$48.7K
    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…11,67414,190280$20$38.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.480150$40$29.3K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…1180120$20$17.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…8202,32070$50$13.8K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…1814090$30$9K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…7821,410610$10$8.4K
    94664The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…4040110$10$5.1K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…218080$20$4K
    J0280Injection, aminophyllin, up to 250 mg1101,150$1$4K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patrick HemmerILAnatomic Pathology & Clinical Pathology Physician$32.2K$5M
    Ziad IssaILClinical Cardiac Electrophysiology Physician$622.3K$19.9K
    Brian MillerILClinical Cardiac Electrophysiology Physician$430.6K$129.9K
    Nileshkumar PatelILInterventional Cardiology Physician$415.3K$132.8K
    Manohar KolaILCardiovascular Disease Physician$401.1K$135.5K
    Muhammad KhanILInterventional Cardiology Physician$321.5K$211.5K
    Bhuvnesh AggarwalILInterventional Cardiology Physician$318.3K$205.3K
    Saurabh JhaILCardiovascular Disease Physician$325.7K$192.9K
    Sunil AgarwalILInterventional Cardiology Physician$340.9K$146.5K
    Mark ShenILClinical Cardiac Electrophysiology Physician$437.5K$41.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Springfield Unit 186ILLocal Education Agency (LEA)$0$3.4M
    Craig RussoILDiagnostic Radiology Physician$129.6K$800.1K
    Orthopaedic Surgery Center Of Illinois, LLCILAmbulatory Surgical Clinic/Center$693.8K$0
    Alexander RyanILDiagnostic Radiology Physician$128.6K$564K
    Ronald HidalgoILDiagnostic Radiology Physician$204.1K$409K
    Stephanie SwopeILDiagnostic Radiology Physician$109.7K$475.5K
    Lisa LoringILNurse Practitioner$564.7K$11.2K
    John SigleILPrimary Podiatric Medicine Podiatrist$349.8K$1K
    Aaron GouldILDiagnostic Radiology Physician$126.2K$209.3K
    Aaron SettlerILDiagnostic Radiology Physician$109.7K$198.7K

    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
    David Crabtree — 5 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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    David Crabtree — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois