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.

Andrew Gordon (NPI 1508898206)

Field	Value
Entity Type	Individual
Organization	Andrew Gordon
Address	22285 N. Pepper Road
City	Lake Barrington
State	IL
ZIP	60010
Taxonomy	Neurology Physician
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicare	$3.6M
Medicaid	$0

Key Findings

This provider reports $3.6M in lifetime Medicare revenue and has no Medicaid billing on file, making its patient-payment exposure effectively single-payer (Medicare). The NPI was enumerated on 2006-07-06 (~20 years ago), indicating a long-standing credential that aligns with an established specialty practice profile rather than a recently launched operation.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 95.5% of the provider's Medicare revenue, driven primarily by J1303 (15.2K claims, $2.6M revenue, 73.1%) and J1569 (21.6K claims, $756.4K revenue, 21.2%), with 95886 contributing a much smaller but nontrivial share (523 claims, $41.8K revenue, 1.2%). This concentration signals that a small number of high-cost injectable therapies dominate the practice's financials.

The code mix indicates a service line centered on high-volume biologic and immune therapies: J1303 (ravulizumab) and J1569 (immune globulin) together make up the lion’s share of revenue, and the presence of large claim counts for these injectables suggests ongoing infusion/administration operations rather than one-off purchases. Supporting infusion administration codes such as 96365 (453 claims, $23.6K) and 96366 (414 claims, $7K) reinforce that active in-office or infusion-suite delivery is a primary business activity.

Neuromuscular diagnostic work is also a visible component of the practice: 95886 (523 claims, $41.8K) and other nerve conduction/EMG codes (e.g., 95910: 138 claims, $19.3K) appear on the profile, indicating meaningful diagnostic volume. 95886 and 95910 are described as notably above typical national volume, which suggests the provider performs EMG/NCS testing at a higher-than-typical rate for peers even though these codes represent a small share of total revenue compared with the biologics.

Competitive standing is mixed by code: for immune globulin (J1569) the provider ranks #8 of 542 nationally (99th percentile), signaling a top-tier national volume position for that therapy. By contrast, J1303 ranks #2 of 2 nationally (0th percentile) with a plain-English label of typical, unremarkable volume—this likely reflects a very small national denominator for that specific drug rather than low local activity. Diagnostic code 95886 ranks #190 of 6525 (97th percentile) and is labeled notably above typical, indicating strong diagnostic throughput relative to national peers.

The payer mix and code concentration create operational and contracting implications: dependence on high-cost biologic administrations (J1303 and J1569) tied to Medicare reimbursement exposes the practice to Medicare payment policy changes and limits revenue diversification because there is no Medicaid billing on file. For payer strategy or network negotiations, the provider’s outsized role in J1569 (top 1% nationally) is a bargaining datapoint, but the overall single-payer exposure reduces cushion from payer mix variability.

Office-based evaluation and ancillary imaging contribute only modestly to revenue: codes such as 99215 (171 claims, $22.2K, 0.6%) and 70553 (44 claims, $11.6K, 0.3%) are present but represent small fractions of total Medicare revenue. This pattern further underscores that the practice’s primary economic engine is infusion and specialty diagnostic procedures rather than high-volume E/M or imaging services.

Given ~20 years of NPI activity and the observed code mix, the provider appears to operate an established specialty practice that combines ongoing biologic infusions with above-typical EMG/NCS diagnostics. Analysts should treat this entity as a Medicare-focused infusion/neurology practice with concentrated revenue risk in a few high-cost therapeutics and with demonstrable national-level strength specifically for J1569 administration.

Medicare: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1303	Injection, ravulizumab-cwvz, 10 mg	15,210	$170	$2.6M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	21,610	$40	$756.4K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	520	$80	$41.8K
96365	The 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.	450	$50	$23.6K
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…	170	$130	$22.2K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	140	$140	$19.3K
99205	The provider sees a new 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 provider…	70	$180	$12.7K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	40	$260	$11.6K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	70	$170	$10.9K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	40	$200	$8.7K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Andrew Gordon — 5 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. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1303	1	10	15,210	$170	$2.6M
J1569	1	50	2,730	$40	$143K
99214	10,077	18,540	110	$80	$17.1K
99215	732	6,240	40	$120	$10.1K
70553	267	500	50	$100	$9.1K
95886	7	240	90	$60	$8.1K
96139	54	60	230	$30	$7.6K
95913	32	50	20	$170	$6.6K
96365	17	410	90	$50	$6.6K
72148	426	700	50	$80	$6.2K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Bellucci Jackson	IL	Family Medicine Physician	$260.2K	$18.9M
Nada Aldallal	IL	Pediatrics Physician	$0	$9.5M
Ven Aduana	IL	Anatomic Pathology & Clinical Pathology Physician	$125.7K	$5.9M
Saad Ahmad	IL	Ophthalmology Physician	$3.3M	$2.4M
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Michael Appiagyei	IL	Internal Medicine Physician	$52.7K	$5.1M
Veronika Kroin	IL	Pediatrics Physician	$0	$4.7M
Mohamed Adenwalla	IL	Ophthalmology Physician	$2.3M	$2.4M
James Urban	IL	Anatomic Pathology & Clinical Pathology Physician	$204.1K	$4.5M
Michelangelo Milano	IL	Anatomic Pathology & Clinical Pathology Physician	$123.8K	$4.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca Guio	IL	Nurse Practitioner	$1.4M	$98.4K
Barrington Pain And Spine Institute, LLC	IL	Ambulatory Surgical Clinic/Center	$1.1M	$0
Amy Derick	IL	Dermatology Physician	$994.7K	$2K
George Katsamakis	IL	Neurology Physician	$757.6K	$490
Richard Troy	IL	Urology Physician	$593K	$0
George Atia	IL	Gastroenterology Physician	$334.4K	$250.4K
Viren Gohil	IL	Emergency Medicine Physician	$105.9K	$342K
Marc Angerame	IL	Orthopaedic Surgery Physician	$427.8K	$0
Tamra Lewis	IL	Urology Physician	$400.9K	$0
Jeremy Oryhon	IL	Orthopaedic Surgery Physician	$391.1K	$0

Andrew Gordon — Billing Profile & Reimbursement Data

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Andrew Gordon — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References