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.

Riverside Medical Center (NPI 1538208210)

Riverside Medical Center is a general acute care hospital provider located in Kankakee, Illinois. This profile covers 0 Medicare and 116 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	Riverside Medical Center
Address	350 N Wall St
City	Kankakee
State	IL
ZIP	60901
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

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

116 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…	31,320	$90	$2.7M
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…	1,620	$100	$164.8K
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…	1,570	$60	$86.2K
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…	1,480	$60	$85.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	4,330	$20	$77.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	4,320	$20	$77.8K
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…	800	$90	$71.3K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	450	$110	$50.7K
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.	10,780	$1	$43.1K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	6,440	$10	$38.6K

Showing 1–10 of 116

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

Riverside Medical Center — 1 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	120	350	400	$70	$514.7K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	25	110	150	$40	$184.1K
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…	17	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.	49	360	600	$30	$165.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	52	360	630	$30	$165K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	13	70	370	$20	$104.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	443	1,210	1,070	$30	$102.1K
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.	136	740	960	$10	$75.9K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	90	530	840	$10	$73.9K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	24	140	400	$20	$64.8K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rush University Medical Center	IL	General Acute Care Hospital	$0	$4.8M
Rush Surgicenter At The Professional Building Ltd. Partnership	IL	Ambulatory Surgical Clinic/Center	$2.7M	$1.7K
Rush Oak Brook Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$2.5M	$0
Ajay Bajaj	IL	Gastroenterology Physician	$203K	$567.1K
Gaurav Kapoor	IL	Interventional Cardiology Physician	$340.4K	$194K
Miral Jhaveri	IL	Neuroradiology Physician	$69.2K	$444.5K
Abhimanyu Beri	IL	Clinical Cardiac Electrophysiology Physician	$439.6K	$68.9K
Raju Abraham	IL	Pulmonary Disease Physician	$239.9K	$192.5K
Vikas Patel	IL	Cardiovascular Disease Physician	$321K	$96.2K
Ashok Jagasia	IL	Otolaryngology Physician	$109.1K	$307.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.3M
City Of Kankakee	IL	Land Ambulance	$318.9K	$11.4M
Cornerstone Services Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Saadia Zaheer	IL	Pediatrics Physician	$0	$5.9M
Safwat Iskander	IL	Pediatrics Physician	$0	$4.1M
Aunt Martha's Health And Wellness, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$3.3M
Cornerstone Services, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M
Steven Decker	IL	Emergency Medicine Physician	$114.6K	$582.8K
Martin Phillips	IL	Infectious Disease Physician	$333.5K	$254.7K
Joseph Pigato	IL	Urology Physician	$352.5K	$23.1K

Riverside Medical Center — Billing Profile & Reimbursement Data

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Riverside 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

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