Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Baylis
    Ask Trek AI about this page

    William Baylis — Billing Profile & Reimbursement Data

    NPI 1639177603 · Palos Heights, IL · Orthopaedic Hand Surgery Physician

    Customize your policy alerts

    Sign up for William Baylis — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    William Baylis is a orthopaedic hand surgery physician provider located in Palos Heights, Illinois. This profile covers 23 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Baylis
    Address7600 W College Dr
    CityPalos Heights
    StateIL
    ZIP60463
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedJuly 13, 2005

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

    Payer SourceTotal Paid
    Medicare$108.7K
    Medicaid$0

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…270$70$18.6K
    97110Therapeutic 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…720$20$14.4K
    99203The provider sees a new 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 provider…160$80$13K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$360$11.7K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.250$30$7.1K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…410$20$7K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…220$30$5.5K
    25600The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…20$300$4.7K
    99204The 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…30$130$4.2K
    97162The 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…50$80$4K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    647217014030$460$20.5K
    9921415,74218,540110$80$17.1K
    975302,0473,320360$30$14.2K
    2605510212030$320$13K
    971101,4094,100480$20$12.9K
    971122,0703,410290$20$9.5K
    992132,58817,39070$60$8.8K
    206101,2651,55060$50$7.6K
    992044,1198,58030$110$5.6K
    971408633,120230$20$5.4K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven WardellILOrthopaedic Surgery Physician$546.5K$0
    Phyllis BonaminioILRheumatology Physician$514.9K$0
    Kevin LukeILOrthopaedic Surgery Physician$376.5K$0
    Kevin BigartILAdult Reconstructive Orthopaedic Surgery Physician$302.8K$0
    Chad LeeCAInterventional Pain Medicine Physician$194.5K$0
    Stacy PurcellILPhysician Assistant$158.3K$0
    Brandon KunzILPodiatrist$103.2K$11.1K
    Kyle MacgillisILOrthopaedic Hand Surgery Physician$101.4K$0
    Russell GlantzILNeurology Physician$69.8K$0
    James HannaILNurse Practitioner$64.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radius Foundation, IncILSubstance Use Disorder Rehabilitation Clinic/Center$0$3.8M
    Noorun KhanILInternal Medicine Physician$272.1K$3.1M
    High Technology IncILRadiology Clinic/Center$3.1M$10
    Helen (min) ChenILAnatomic Pathology & Clinical Pathology Physician$108.8K$2.9M
    Palos Surgicenter, LLCILAmbulatory Surgical Clinic/Center$1.7M$0
    Ahmed ElgamalILPhysical Medicine & Rehabilitation Physician$974.1K$239.8K
    Chiedozie MkpoluluILDiagnostic Radiology Physician$676K$59.3K
    Elizabeth GheraILFamily Nurse Practitioner$639.9K$9.9K
    Abdul-hamid ShahbainILInternal Medicine Physician$461.9K$168.2K
    Daniel FrankelILDiagnostic Radiology Physician$551.7K$32.5K

    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
    William Baylis — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois