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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHope Merkley
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    Hope Merkley — Billing Profile & Reimbursement Data

    NPI 1689180978 · Rockford, IL · Gerontology Nurse Practitioner

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    Hope Merkley is a gerontology nurse practitioner provider located in Rockford, Illinois. This profile covers 1 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHope Merkley
    Address5666 E State St
    CityRockford
    StateIL
    ZIP61108
    TaxonomyGerontology Nurse Practitioner
    NPI EnumeratedDecember 21, 2017

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

    Payer SourceTotal Paid
    Medicare$610
    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    62270In this diagnostic procedure, the provider obtains a sample of the cerebrospinal fluid (CSF) for examination. The provider commonly performs this procedure to rule out meningitis.10$40$620

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6227011010$40$590

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$15.2M
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$12.5M
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$9.2M
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$4.6M
    Nader DababnehILGastroenterology Physician$111.5K$813.7K
    Fadi AldaasILCritical Care Medicine (Internal Medicine) Physician$525.7K$302K
    Gerson CristeILPain Medicine (Psychiatry & Neurology) Physician$181.3K$514.7K
    Vadzim ChyzhykILCardiovascular Disease Physician$276.8K$414.9K
    Hal LewisILDermatology Physician$341.1K$202.4K
    Cesar CoelloILCardiovascular Disease Physician$291.2K$191.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edwin Gonzalez MontoyaILOral and Maxillofacial Surgery (Dentist)$0$7.9M
    Adapt Of Illinois, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$6M
    Shweta PatelILGeneral Practice Dentistry$0$5.5M
    Rosecrance IncILSubstance Use Disorder Rehabilitation Clinic/Center$0$4.9M
    Remedies Renewing LivesILSubstance Use Disorder Rehabilitation Clinic/Center$78.8K$4.3M
    Integrated Homecare Services, Inc.ILOxygen Equipment & Supplies (DME)$0$3.4M
    Jason GrinterILDentist$0$3.2M
    Matthew KeeneILPrimary Podiatric Medicine Podiatrist$144.7K$297.2K
    Sameer AnsarILEndocrinology, Diabetes & Metabolism Physician$97.9K$189.3K
    Charles AmbelangILDiagnostic Radiology Physician$128.5K$146K

    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
    Hope Merkley — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois