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.

The University Of Chicago Medical Center (NPI 1508956509)

Field	Value
Entity Type	Organization
Organization	The University Of Chicago Medical Center
Address	5841 S. Maryland Ave
City	Chicago
State	IL
ZIP	60637
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

227 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	11,850	$100	$1.1M
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,860	$110	$202.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	1,620	$90	$147.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	1,570	$80	$118K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	920	$120	$111K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,320	$50	$106.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4,430	$20	$79.8K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	1,040	$80	$79.1K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	710	$110	$77.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	20,770	$1	$62.3K

Showing 1–10 of 227

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

The University Of Chicago Medical Center — 6 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

227 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	3	10	200	$1,230	$1.4M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	118	350	400	$70	$514.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	30	50	$50	$422.6K
87799	The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…	9	20	500	$30	$399.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	188	280	1,120	$30	$218.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	72	170	150	$200	$190.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	64	1,220	540	$60	$179.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	76	360	600	$30	$165.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	77	360	630	$30	$165K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	53	160	300	$20	$145.2K

Showing 1–10 of 227

Related Providers

Other providers that share a Tax Identification Number (TIN) with The University Of Chicago Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Hospital System Inc	OH	Family Medicine Physician	$0	$6.9M
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Mazen Rachid	IL	Pediatrics Physician	$0	$5.1M
Sidney Schechet	MD	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Anna Mackin	VA	Retina Specialist (Ophthalmology) Physician	$3.1M	$0
Mohamed Farhat	IN	Medical Oncology Physician	$2.2M	$0
Eduardo Braun	IN	Medical Oncology Physician	$1.8M	$0
Timothy Gillison	IL	Hematology & Oncology Physician	$1.7M	$54.1K
Edward Michals	IL	Diagnostic Radiology Physician	$59.3K	$1.2M
Arun Nagaraju	IL	Diagnostic Radiology Physician	$283.9K	$908.4K

Nearby Providers

Other providers in the same ZIP code as The University Of Chicago Medical Center, ranked by combined Medicare and Medicaid revenue.

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
Cook County	IL	Primary Care Clinic/Center	$0	$4.1M
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

The University Of Chicago Medical Center — Billing Profile & Reimbursement Data

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The University Of Chicago Medical Center — 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