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.

Lori O'grady (NPI 1487959300)

Field	Value
Entity Type	Individual
Organization	Lori O'grady
Address	122 N Wheaton Ave Unit 1072
City	Wheaton
State	IL
ZIP	60187
Taxonomy	Nurse Practitioner
NPI Enumerated	January 25, 2011

Payer Source	Total Paid
Medicare	$5.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 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…	30	$80	$2.2K
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…	30	$60	$1.5K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	20	$40	$840
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	10	$20	$280
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	10	$20	$280
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	10	$20	$280

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Lori O'grady — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,600	18,540	110	$80	$17.1K
99213	13,754	17,390	70	$60	$8.8K
87480	9	10	20	$20	$1.5K
87510	9	10	20	$20	$1.5K
87660	9	10	20	$20	$1.5K
G0101	302	600	30	$40	$1.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lori O'grady, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advocare, LLC	NJ	Pediatrics Physician	$0	$32.1M
Vijay Singh	NJ	Rheumatology Physician	$1.7M	$0
Jennifer Lincoln	NJ	Medical Physician Assistant	$1.1M	$0
Rajendra Patel	NJ	Cardiovascular Disease Physician	$969.7K	$0
Richard Daniels	NJ	Vascular Surgery Physician	$827.7K	$5.4K
Richa Mishra	NJ	Rheumatology Physician	$823.8K	$0
Nickolas Tyris	NJ	Rheumatology Physician	$804.4K	$0
Nicholas Palladino	NJ	Internal Medicine Physician	$681.3K	$0
Neil Mushlin	PA	Pulmonary Disease Physician	$669.7K	$0
Sarah Curci	NJ	Medical Physician Assistant	$587K	$0

Nearby Providers

Other providers in the same ZIP code as Lori O'grady, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Dupage Department Of Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.7M
County Of Dupage Department Of Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.6M
City Of Wheaton	IL	Land Ambulance	$492.3K	$4.7M
Dupage Eye Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$4.5M	$0
Vikram Setlur	IL	Retina Specialist (Ophthalmology) Physician	$2.9M	$219.8K
Gregory Fenton	IL	Ophthalmology Physician	$2.7M	$292.2K
Susan Anderson-nelson	IL	Retina Specialist (Ophthalmology) Physician	$1.5M	$14.5K
Mark Daily	IL	Ophthalmology Physician	$1.2M	$8.6K
Jon Gieser	IL	Retina Specialist (Ophthalmology) Physician	$771.4K	$0
Steven Lafayette	IL	Ophthalmology Physician	$637K	$7.3K

Lori O'grady — Billing Profile & Reimbursement Data

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Lori O'grady — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References