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.

Integrated Rehab Consultants LLC (NPI 1528379195)

Integrated Rehab Consultants LLC is a physical medicine & rehabilitation physician provider located in Chicago, Illinois. This profile covers 0 Medicare and 18 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	Integrated Rehab Consultants LLC
Address	401 N Michigan Avenue
City	Chicago
State	IL
ZIP	60611
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	June 29, 2010

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	133,780	$20	$2.1M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	117,580	$10	$1.3M
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	6,950	$30	$222.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	7,580	$30	$219.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	5,400	$30	$162K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,040	$30	$94.2K
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…	4,740	$20	$90K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	770	$40	$30.8K
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…	340	$50	$15.1K
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…	910	$20	$14.6K

Showing 1–10 of 18

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

Integrated Rehab Consultants LLC — 5 of 16 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	145	190	160	$60	$37.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	1,540	410	$20	$30.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	206	3,830	210	$40	$29.4K
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…	241	4,800	210	$30	$29.3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	1,590	360	$10	$23K
G0407	Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	4	20	30	$70	$19.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	192	2,460	60	$70	$18.1K
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…	453	2,800	60	$80	$17.7K
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…	102	840	90	$20	$13.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	4	540	100	$30	$12.9K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Redwine	TX	Family Nurse Practitioner	$1.3M	$0
Ahmed Elgamal	IL	Physical Medicine & Rehabilitation Physician	$974.1K	$239.8K
Joezer Lugo Ranal	TX	Physical Medicine & Rehabilitation Physician	$1M	$0
Kelly Mctaggart	FL	Family Nurse Practitioner	$972.7K	$0
Pedro Gonzalez	IL	Physical Medicine & Rehabilitation Physician	$563.4K	$372.4K
Sung-joon Cho	TX	Physical Medicine & Rehabilitation Physician	$901.4K	$0
Amish Patel	IL	Physical Medicine & Rehabilitation Physician	$696.4K	$156.1K
Meljun Gomez	IL	Adult Health Nurse Practitioner	$448.6K	$307.5K
Hassan Akinbiyi	AZ	Physical Medicine & Rehabilitation Physician	$729.7K	$0
Kunwarjit Duggal	IN	Physical Medicine & Rehabilitation Physician	$669.7K	$18.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ann & Robert H. Lurie Children's Hospital Of Chicago	IL	Children's Hospital	$0	$7.1M
Rehabilitation Institute Of Chicago	IL	Rehabilitation Hospital	$0	$7M
Mary Mulcahy	IL	Medical Oncology Physician	$3.2M	$51.3K
Rukhsana Mirza	IL	Ophthalmology Physician	$1.8M	$276.8K
Jayesh Mehta	IL	Hematology (Internal Medicine) Physician	$1.9M	$204.4K
Sheetal Kircher	IL	Medical Oncology Physician	$1.6M	$6.7K
Manjot Gill	IL	Ophthalmology Physician	$1.4M	$240.5K
Arthur Mandelin	IL	Rheumatology Physician	$1.2M	$361.3K
Jaideep Sohi	IL	Nuclear Radiology Physician	$1.5M	$6.9K
Alice Lyon	IL	Ophthalmology Physician	$1.4M	$30K

Integrated Rehab Consultants LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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