Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Omprakash Sawlani (NPI 1487660486)

Omprakash Sawlani is a pediatrics physician provider located in Oak Lawn, Illinois. This profile covers 0 Medicare and 63 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Omprakash Sawlani
Address	4400 W 95th St
City	Oak Lawn
State	IL
ZIP	60453
Taxonomy	Pediatrics Physician
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	9,170	$80	$706.2K
99213	The 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…	13,690	$50	$671K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,690	$80	$280.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,480	$70	$257.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,750	$80	$223K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,790	$70	$192.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	4,130	$40	$144.7K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	7,170	$20	$129K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	4,210	$20	$96.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	4,770	$20	$76.3K

Showing 1–10 of 63

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Omprakash Sawlani — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,451	2,480	760	$90	$102K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	73	400	550	$20	$90.8K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2,218	2,920	770	$60	$75.8K
99214	The 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…	175	14,680	300	$50	$48.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	87	1,380	370	$40	$46.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	124	1,270	370	$40	$40.8K
99213	The 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…	257	14,190	280	$20	$38.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	891	2,840	500	$40	$37.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	64	1,670	160	$40	$26.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	65	1,590	110	$40	$21.4K

Showing 1–10 of 63

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Board Of Trustees Of The University Of Illinois	IL	Federally Qualified Health Center (FQHC)	$0	$72.7M
Frederick Behm	IL	Anatomic Pathology & Clinical Pathology Physician	$440	$32.3M
Richard Bone	IL	Gastroenterology Physician	$1.8M	$28.2M
Ayman Rawda	IL	Pediatrics Physician	$0	$15M
The Board Of Trustees Of The University Of Illinois	IL	Internal Medicine Physician	$0	$11.9M
Kevin Mccune	IL	Family Medicine Physician	$0	$9.6M
Michael Miloro	IL	Oral & Maxillofacial Surgery (D.M.D.)	$0	$9.5M
Sally Campbell-lee	IL	Clinical Pathology Physician	$0	$8.7M
The Board Of Trustees Of The University Of Illinois	IL	Federally Qualified Health Center (FQHC)	$0	$7.1M
Ghiath Al Kassar	IL	Pediatrics Physician	$0	$6.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Village Of Oak Lawn	IL	Land Ambulance	$649.5K	$11.6M
Oda Solutions, Inc	IL	Methadone Clinic	$0	$9.7M
Mazen Rachid	IL	Pediatrics Physician	$0	$5.1M
Ahmed Ramaha	IL	General Practice Dentistry	$0	$4.9M
Ghassan Zalzaleh	IL	Hematology & Oncology Physician	$3.1M	$149K
Amar Hamad	IL	Hematology & Oncology Physician	$3M	$97.1K
Sunil Shah	IL	Internal Medicine Physician	$256.6K	$1.6M
Chintan Mistry	IL	Emergency Medicine Physician	$301K	$1.5M
Rami Haddad	IL	Hematology & Oncology Physician	$1.2M	$219K
Ashraf Abourahma	IL	Cardiovascular Disease Physician	$406.9K	$731.9K

Omprakash Sawlani — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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