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 1518087428)

Field	Value
Entity Type	Organization
Organization	Cook County
Address	3250 N Arlington Heights Rd
City	Arlington Heights
State	IL
ZIP	60004
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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	11,370	$330	$3.8M
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…	2,510	$1	$5K
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…	4,610	$1	$4.6K
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…	870	$1	$1.7K
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…	630	$1	$1.3K
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…	270	$1	$270
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…	160	$1	$160
90630	N/A	140	$1	$140
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,420	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	620	$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 — 0 of 8 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	354	850	7,490	$120	$3.9M
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…	1,277	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…	831	14,190	280	$20	$38.9K
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…	241	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…	267	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…	791	3,270	80	$40	$11.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,135	1,290	110	$10	$8.1K
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,…	1,195	3,330	90	$10	$7.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	1,541	2,640	110	$10	$3.7K
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…	11	170	60	$10	$2.5K

Showing 1–10 of 14

Related Providers

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

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

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Alexian Brothers Center For Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Hearing Screening Associates LLC	IL	Audiologist	$0	$4.4M
Northwest Home Care, Inc.	IL	Home Health Agency	$0	$4.2M
Family Medical Supplies, Inc	IL	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Omar Hassan	IL	Ophthalmology Physician	$1.1M	$0
Michaela Klein	IL	Surgery Physician	$944.5K	$0
Jimmy Varghese	IL	Rheumatology Physician	$632.9K	$12.9K
Adam Prickett	IL	Ophthalmology Physician	$538.2K	$0
Christopher Wood	IL	Ophthalmology Physician	$461.7K	$0

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