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.

Dekalb C U S D 428 (NPI 1609078161)

Field	Value
Entity Type	Organization
Organization	Dekalb C U S D 428
Address	901 S 4th St
City	Dekalb
State	IL
ZIP	60115
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	June 5, 2007

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	43,520	$20	$739.9K
T2003	Non-emergency transportation; encounter/trip	41,960	$20	$629.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,930	$140	$401.3K
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…	12,970	$30	$337.1K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	9,840	$30	$324.6K
T1021	Home health aide or certified nurse assistant, per visit	7,110	$30	$213.4K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	15,150	$10	$166.7K
T1002	Rn services, up to 15 minutes	4,620	$40	$161.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6,670	$20	$120.1K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	1,800	$30	$55.7K

Showing 1–10 of 19

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

Dekalb C U S D 428 — 1 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1021	Home health aide or certified nurse assistant, per visit	59	150	4,590	$30	$430.6K
T1002	Rn services, up to 15 minutes	30	140	840	$60	$428K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	39	620	5,060	$10	$205.3K
T2003	Non-emergency transportation; encounter/trip	17	320	3,390	$20	$192.4K
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…	392	1,220	540	$60	$179.4K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	31	460	1,480	$30	$132K
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…	56	1,210	1,070	$30	$102.1K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	43	230	2,330	$10	$66.5K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	26	380	2,820	$10	$64.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	49	300	1,420	$10	$53.1K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Dekalb C U S D 428, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Dekalb	IL	Land Ambulance	$372.1K	$13M
Dekalb Behavioral Health Foundation, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.6M
Dekalb Behavioral Health Foundation, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M
Lehan Drugs Inc	IL	Durable Medical Equipment & Medical Supplies	$48.3K	$3.8M
Catherine Britton-kuzel	IL	Anatomic Pathology & Clinical Pathology Physician	$58.3K	$1.7M
Samar Mahmood	IL	Psychiatry Physician	$34.4K	$574.2K
Jagdish Patel	IL	Cardiovascular Disease Physician	$294.3K	$216.4K
Hina Nawab	IL	Family Medicine Physician	$245.3K	$219.6K
Peter Bui	IL	Emergency Medicine Physician	$149.6K	$265.9K
Amer Kassar	IL	Endocrinology, Diabetes & Metabolism Physician	$324K	$0

Dekalb C U S D 428 — Billing Profile & Reimbursement Data

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Dekalb C U S D 428 — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References