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.

Cook County (NPI 1497874325)

Cook County is a primary care clinic/center provider located in Chicago, Illinois. This profile covers 0 Medicare and 14 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	Organization
Organization	Cook County
Address	6337 S Woodlawn Ave
City	Chicago
State	IL
ZIP	60637
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	11,750	$340	$4M
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…	3,770	$1	$15.1K
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…	5,370	$1	$10.7K
99203	The provider sees a new 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 provider…	330	$1	$1.3K
99215	The 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…	300	$1	$900
99204	The provider sees a new 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 provider…	50	$1	$140
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	110	$1	$110
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	40	$1	$70
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	$1	$20
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	20	$0	$0

Showing 1–10 of 14

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

Cook County — 1 of 9 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	346	850	7,490	$120	$3.9M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	880	960	330	$30	$51K
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…	702	14,680	300	$50	$48.7K
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…	716	14,190	280	$20	$38.9K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	740	820	340	$1	$17.9K
99204	The provider sees a new 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 provider…	1,526	2,800	60	$80	$17.7K
99215	The 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…	503	2,320	70	$50	$13.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	585	930	60	$40	$12.2K
99203	The provider sees a new 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 provider…	668	3,270	80	$40	$11.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,005	3,330	90	$10	$7.4K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Friend Family Health Center Inc	IL	Federally Qualified Health Center (FQHC)	$0	$83.1M
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.1M
The University Of Chicago Medical Center	IL	General Acute Care Hospital	$0	$3.5M
Rahul Komati	IL	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Cara Rosenbaum	IL	Hematology & Oncology Physician	$851K	$16.3K
Janet Chin	IL	Medical Oncology Physician	$754.8K	$1.2K
Shiraz Rahim	ID	Diagnostic Radiology Physician	$148.8K	$599.6K
John Collins	IL	Diagnostic Radiology Physician	$41K	$624.5K
Olga Pasternak-wise	IL	Diagnostic Radiology Physician	$57.1K	$563.3K
Nicole Stankus	IL	Nephrology Physician	$192K	$420.9K

Cook County — Billing Profile & Reimbursement Data

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Cook County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cook County	IL	Multi-Specialty Clinic/Center	$0	$85.9M
Cook County	IL	Multi-Specialty Clinic/Center	$0	$20.6M
Cook County	IL	Multi-Specialty Clinic/Center	$0	$14.6M
Sally Campbell-lee	IL	Clinical Pathology Physician	$0	$8.7M
Cook County	IL	Multi-Specialty Clinic/Center	$0	$8.6M
Cook County	IL	Primary Care Clinic/Center	$0	$6.3M
Cook County	IL	Primary Care Clinic/Center	$0	$5.9M
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Cook County	IL	Primary Care Clinic/Center	$0	$5.6M
Cook County	IL	Primary Care Clinic/Center	$0	$5.4M