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NPI 1619030137 · Chicago, IL · Pulmonary Disease Physician
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Douglas Hogarth is a pulmonary disease physician provider located in Chicago, Illinois. This profile covers 13 Medicare and 1 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 | Douglas Hogarth |
| Address | 5841 S Maryland Ave |
| City | Chicago |
| State | IL |
| ZIP | 60637 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | December 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $53.1K |
| Medicaid | $42.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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… | 230 | $50 | $12K |
| 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… | 80 | $110 | $8.6K |
| 31629 | The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique. | 60 | $110 | $6.6K |
| 31653 | The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider… | 30 | $210 | $5.6K |
| 31627 | In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy. | 50 | $80 | $4.2K |
| 31647 | Under bronchoscopic visualization, the provider assesses the extent of an air leakage and the size of the bronchial airway involved. He then places a valve in the bronchus. Placement of the valve… | 20 | $170 | $3.7K |
| 31628 | The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance. | 50 | $60 | $3.2K |
| 32555 | In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter. He performs the procedure using imaging guidance. | 20 | $90 | $1.8K |
| 31626 | In addition to normal bronchoscopic examination, the provider places one or more markers to create a reference point for future treatment/surgery. | 20 | $90 | $1.8K |
| 31652 | The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider… | 10 | $140 | $1.8K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 520 | $80 | $42.4K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 193 | 1,000 | 100 | $110 | $47.3K |
Other providers in the same ZIP code as Douglas Hogarth, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Friend Family Health Center Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $83.1M |
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $13.1M |
| Cook County | IL | Primary Care Clinic/Center | $0 | $4.1M |
| The University Of Chicago Medical Center | IL | General Acute Care Hospital | $0 | $3.5M |
| Rahul Komati | IL | Retina Specialist (Ophthalmology) Physician | $1.9M | $0 |
| Cara Rosenbaum | IL | Hematology & Oncology Physician | $851K | $16.3K |
| Janet Chin | IL | Medical Oncology Physician | $754.8K | $1.2K |
| Shiraz Rahim | ID | Diagnostic Radiology Physician | $148.8K | $599.6K |
| John Collins | IL | Diagnostic Radiology Physician | $41K | $624.5K |
| Olga Pasternak-wise | IL | Diagnostic Radiology Physician | $57.1K | $563.3K |
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