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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Pins
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    Michael Pins — Billing Profile & Reimbursement Data

    NPI 1639155328 · Park Ridge, IL · Specialist

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    Michael Pins is a specialist provider located in Park Ridge, Illinois. This profile covers 16 Medicare and 158 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Pins
    Address1775 W Dempster St
    CityPark Ridge
    StateIL
    ZIP60068
    TaxonomySpecialist
    NPI EnumeratedDecember 15, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.6M
    Medicare$67.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…780$30$22.6K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…200$70$13.1K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…290$30$9.5K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…170$30$4.7K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…200$20$4.4K
    86077The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…100$40$3.6K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…30$110$3.5K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…30$50$1.6K
    88344The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…40$30$1.2K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…120$10$1.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305237580610$30$38.2K
    88341245450210$30$11.9K
    88342150490120$40$9K
    883445812040$80$8.1K
    883601226060$60$7.7K
    8607783070$40$7.1K
    883072539080$70$6.1K
    8831324528060$30$3.8K
    883092617020$110$2.5K
    883318819030$50$2.2K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    158 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0241UN/A10,180$80$773.8K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…3,630$170$609.7K
    80053The 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.90,020$10$450.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…127,930$1$383.8K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…66,230$1$264.9K
    U0003Infectious 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…4,180$60$250.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.10,080$20$241.9K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.59,590$1$178.8K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.6,780$20$149.2K
    87040The lab analyst performs a bacterial culture on blood, and isolates and presumptively identifies any bacteria that grow on selected aerobic media. This code also includes work for anaerobic culture,…16,990$10$135.9K

    Showing 1–10 of 158

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    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

    158 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious 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…76350400$70$514.7K
    0240UN/A1520240$120$403.4K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…2350270$230$271.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.282801,120$30$218.9K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…103210680$20$206.4K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…12170150$200$190.9K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…84250450$40$185.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.99360600$30$165.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.99360630$30$165K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.103160300$20$145.2K

    Showing 1–10 of 158

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John HamiltonILAnatomic Pathology & Clinical Pathology Physician$6.4K$11.7M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Gloria MaILAnatomic Pathology & Clinical Pathology Physician$87.6K$3.9M
    Adaora OkonkwoILAnatomic Pathology & Clinical Pathology Physician$115.5K$2.8M
    Rajesh IyengarILFamily Medicine Physician$1.2M$1.6M
    Raphael BorokILAnatomic Pathology & Clinical Pathology Physician$153.6K$2.3M
    Steve ElmosaILInternal Medicine Physician$169.6K$2.3M
    Oliver KimILAnatomic Pathology & Clinical Pathology Physician$98.6K$2M
    Andrea BlumsteinILAnatomic Pathology & Clinical Pathology Physician$66.1K$1.9M
    Manjot GillILOphthalmology Physician$1.4M$240.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medlab Technologies LLCILClinical Medical Laboratory$7.3M$87.6K
    Rahul KhapekarILFamily Medicine Physician$5.2M$410
    Advocate Health And Hospitals CorporationILGeneral Acute Care Hospital$0$3.9M
    William MenegasILGeneral Practice Dentistry$0$3.4M
    Cranial Technologies, Inc.ILProsthetic/Orthotic Supplier$0$3.1M
    Rajendra GogiaILPain Medicine (Physical Medicine & Rehabilitation) Physician$893.5K$1.6M
    City Of Park RidgeILLand Ambulance$463.9K$1.1M
    Geoffrey LevinILPsychiatry Physician$89.4K$842K
    Mark BrandtILUrology Physician$691.3K$25.1K
    United Imaging & DiagnosticsILRadiology Clinic/Center$473.8K$164.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Michael Pins — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Michael Pins — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois