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NPI 1528089083 · Chicago, IL · Urology Physician
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Thomas Malvar is a urology physician provider located in Chicago, Illinois. This profile covers 15 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Malvar |
| Address | 3000 N Halsted Street |
| City | Chicago |
| State | IL |
| ZIP | 60657 |
| Taxonomy | Urology Physician |
| NPI Enumerated | July 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $77.7K |
| Medicare | $69.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 410 | $60 | $26.4K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 120 | $130 | $15.8K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 80 | $70 | $5.9K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 60 | $70 | $4.3K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 20 | $190 | $3.8K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 70 | $40 | $3K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 40 | $70 | $2.6K |
| 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… | 30 | $60 | $1.6K |
| 52332 | The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 10 | $100 | $1.4K |
| 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… | 10 | $100 | $1.2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J9217 | 98 | 160 | 140 | $130 | $21.1K |
| 99214 | 18,204 | 18,540 | 110 | $80 | $17.1K |
| 52000 | 292 | 310 | 80 | $160 | $15.8K |
| 99232 | 4,835 | 7,960 | 90 | $60 | $12.4K |
| 99213 | 1,340 | 17,390 | 70 | $60 | $8.8K |
| 52332 | 177 | 200 | 20 | $160 | $4.6K |
| 99203 | 3,637 | 6,150 | 30 | $70 | $3.8K |
| 99231 | 544 | 2,140 | 40 | $40 | $2.8K |
| 99221 | 235 | 1,030 | 20 | $60 | $2K |
| 51798 | 228 | 380 | 150 | $10 | $1.9K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,830 | $20 | $38.3K |
| 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… | 670 | $20 | $16K |
| 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… | 310 | $30 | $10.3K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 180 | $20 | $4.2K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 1,310 | $1 | $2.6K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 150 | $10 | $1.9K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 30 | $50 | $1.4K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 140 | $10 | $1K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 30 | $30 | $960 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 4,899 | 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… | 2,252 | 14,190 | 280 | $20 | $38.9K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 2,530 | 4,800 | 210 | $30 | $29.3K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 326 | 840 | 90 | $20 | $13.6K |
| 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… | 698 | 3,270 | 80 | $40 | $11.1K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 277 | 430 | 60 | $40 | $9.7K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 146 | 290 | 30 | $40 | $5.3K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 50 | 130 | 70 | $10 | $3.7K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 166 | 1,240 | 150 | $1 | $940 |
Other providers in the same ZIP code as Thomas Malvar, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Advocate Northside Health System | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $7.4M |
| Sanjeet Parmar | IL | General Practice Dentistry | $0 | $5.9M |
| Cranial Technologies Inc | IL | Prosthetic/Orthotic Supplier | $0 | $3.1M |
| Rajesh Iyengar | IL | Family Medicine Physician | $1.2M | $1.6M |
| Tarek Karaman | IL | Hospitalist Physician | $1.1M | $770.6K |
| Amritbhai Patel | IL | Gastroenterology Physician | $150.9K | $948.3K |
| Maurice Brownlee | IL | Psychiatric/Mental Health Nurse Practitioner | $128.5K | $955K |
| Shilpa Puppala | IL | Diagnostic Radiology Physician | $864.2K | $0 |
| Abdul Mohammed | IL | Rheumatology Physician | $654.5K | $133.8K |
| Anil Kachru | IL | Pulmonary Disease Physician | $212.8K | $452.5K |
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