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NPI 1689115032 · Oakbrook Terrace, IL · Physical Medicine & Rehabilitation Physician
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Gaurish Soni is a physical medicine & rehabilitation physician provider located in Oakbrook Terrace, Illinois. This profile covers 12 Medicare and 3 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 | Gaurish Soni |
| Address | 1s450 Summit Ave Ste 165 |
| City | Oakbrook Terrace |
| State | IL |
| ZIP | 60181 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | March 18, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $723.1K |
| Medicaid | $65.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 5,460 | $90 | $474.6K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 880 | $110 | $95.6K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,080 | $60 | $65.6K |
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 350 | $60 | $20.1K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 390 | $50 | $18.1K |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 140 | $110 | $15.6K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 310 | $30 | $10.6K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 110 | $60 | $6.6K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 100 | $70 | $6.6K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 180 | $40 | $6.5K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 3 | 1,400 | 180 | $80 | $29.5K |
| 99489 | 12 | 40 | 210 | $50 | $26.9K |
| 99308 | 162 | 1,290 | 200 | $50 | $26.1K |
| 99487 | 24 | 70 | 80 | $100 | $20.1K |
| 99490 | 141 | 660 | 150 | $50 | $13.2K |
| 99232 | 7,927 | 7,960 | 90 | $60 | $12.4K |
| 99305 | 6 | 610 | 60 | $100 | $11.1K |
| 20610 | 1,503 | 1,550 | 60 | $50 | $7.6K |
| 99439 | 46 | 320 | 70 | $40 | $6K |
| 99497 | 235 | 970 | 50 | $60 | $5.5K |
Showing 1–10 of 12
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 4,050 | $10 | $44.5K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 670 | $20 | $14.1K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,120 | $10 | $9K |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 110 | 1,540 | 410 | $20 | $30.2K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 466 | 1,590 | 360 | $10 | $23K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 27 | 380 | 50 | $30 | $6.9K |
Other providers in the same ZIP code as Gaurish Soni, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cardiac Imaging Inc | IL | Mobile Radiology Clinic/Center | $31.1M | $1.7M |
| Novacare Services | IL | Nursing Care Agency | $0 | $6.5M |
| Village Of Villa Park Office Of The Treasurer | IL | Land Ambulance | $172.9K | $4.2M |
| Advanced Diagnostic Solutions Inc | IL | Clinical Medical Laboratory | $1.1M | $1.9K |
| Hanzla Quraishi | IL | Physical Medicine & Rehabilitation Physician | $736.8K | $60.1K |
| Tonya Schreder | IL | Family Medicine Physician | $285K | $494.9K |
| Daniel Stagl | IL | Physical Medicine & Rehabilitation Physician | $506.4K | $7.3K |
| Joseph Coscino | IL | Podiatrist | $318.4K | $152.7K |
| Virginia Allen | IL | Dermatology Physician | $402.2K | $0 |
| Beau Bigelow | IL | Physical Medicine & Rehabilitation Physician | $366.7K | $170 |
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