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.

Michael Nicholas (NPI 1598740748)

Field	Value
Entity Type	Individual
Organization	Michael Nicholas
Address	160 Cornwall Dr
City	Crete
State	IL
ZIP	60417
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	December 9, 2005

Payer Source	Total Paid
Medicare	$118.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	70	$370	$25K
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…	190	$80	$15.9K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	80	$160	$13.5K
37225	N/A	30	$390	$10K
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…	140	$60	$8.2K
37221	N/A	10	$440	$6.2K
37228	N/A	20	$290	$4.7K
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…	30	$130	$4.1K
37224	N/A	20	$220	$3.5K
93459	In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the…	20	$160	$3.3K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Michael Nicholas — 2 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37225	3	20	20	$3,030	$78.7K
37252	15	30	40	$570	$28K
99214	3,641	18,540	110	$80	$17.1K
92928	5	220	30	$450	$15.4K
33340	53	60	20	$520	$13.5K
37253	16	20	80	$120	$13.1K
99232	3,806	7,960	90	$60	$12.4K
37228	3	20	20	$620	$11.8K
99223	1,873	6,190	50	$140	$10.4K
99215	1,766	6,240	40	$120	$10.1K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kendra Hansen	IL	Adult Health Nurse Practitioner	$197.4K	$93.9K
Mark Mitchell	IN	Clinical Cardiac Electrophysiology Physician	$135.8K	$37.8K
Kenneth Ramsey	IN	Cardiovascular Disease Physician	$165.8K	$0
Amy Bales	IN	Cardiovascular Disease Physician	$149.8K	$0
Elizabeth Vaught	IN	Adult Health Nurse Practitioner	$147.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heritage Lab Express Inc	IL	Clinical Medical Laboratory	$1.6M	$0
Vip Labs LLC.	IL	Clinical Medical Laboratory	$672.2K	$0

Michael Nicholas — Billing Profile & Reimbursement Data

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Michael Nicholas — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References