Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Josephine De Lira (NPI 1689700437)

Field	Value
Entity Type	Individual
Organization	Josephine De Lira
Address	25 N Winfield Rd Ste 432
City	Winfield
State	IL
ZIP	60190
Taxonomy	Clinical Social Worker
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicare	$13.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	170	$60	$9.3K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	30	$50	$1.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$100	$1.5K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	20	$60	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Josephine De Lira — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	207	480	130	$70	$15K
90847	14	20	40	$70	$4.6K
90791	404	570	20	$110	$4.2K
90846	6	10	40	$60	$3.1K

Nearby Providers

Other providers in the same ZIP code as Josephine De Lira, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Dupage Hospital Association	IL	General Acute Care Hospital	$0	$10.6M
Ajay Patel	IL	Anatomic Pathology & Clinical Pathology Physician	$65.4K	$4.2M
Tiffany Chang	IL	Anatomic Pathology & Clinical Pathology Physician	$98K	$1.5M
Scott Sporer	IL	Adult Reconstructive Orthopaedic Surgery Physician	$515.6K	$0
Elisa Rhew	IL	Rheumatology Physician	$500.6K	$0
Devin Patel	IL	Interventional Cardiology Physician	$407.1K	$38.1K
George Nijmeh	IL	Cardiovascular Disease Physician	$419.9K	$14.3K
Pin Lin	IL	Rheumatology Physician	$415.3K	$0
Robin Pastore	IL	Foot & Ankle Surgery Podiatrist	$392K	$6.4K
Joshua Blomgren	IL	Sports Medicine (Family Medicine) Physician	$361.1K	$31.4K

Josephine De Lira — Billing Profile & Reimbursement Data

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Josephine De Lira — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References