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NPI 1689886962 · Decatur, IL · Hematology & Oncology Physician
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Evelena Ontiveros is a hematology & oncology physician provider located in Decatur, Illinois. This profile covers 57 Medicare and 8 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 | Evelena Ontiveros |
| Address | 210 W Mckinley Ave Ste 1 |
| City | Decatur |
| State | IL |
| ZIP | 62526 |
| Taxonomy | Hematology & Oncology Physician |
| NPI Enumerated | May 7, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $297.6K |
| Medicaid | $95.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
57 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established 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… | 1,060 | $90 | $95.3K |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 48,000 | $1 | $48K |
| 78815 | PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.… | 20 | $1,060 | $18K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 170 | $100 | $16.3K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 70 | $170 | $12.2K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 80 | $130 | $10.2K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 100 | $90 | $9.6K |
| 99204 | The 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… | 80 | $120 | $9.4K |
| 99442 | N/A | 130 | $70 | $8.6K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 20 | $410 | $6.6K |
Showing 1–10 of 57
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 57 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
57 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 78815 | 317 | 370 | 50 | $360 | $30.9K |
| J1439 | 10 | 80 | 25,500 | $1 | $30K |
| A9552 | 83 | 90 | 50 | $360 | $27.5K |
| 96413 | 149 | 370 | 130 | $100 | $19.3K |
| 99233 | 2,885 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 256 | 18,540 | 110 | $80 | $17.1K |
| 74177 | 713 | 1,020 | 120 | $80 | $11.7K |
| 84443 | 245 | 530 | 80 | $20 | $11K |
| 99223 | 1,988 | 6,190 | 50 | $140 | $10.4K |
| 80061 | 484 | 570 | 100 | $10 | $10.1K |
Showing 1–10 of 57
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established 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… | 3,000 | $30 | $89.9K |
| 96375 | Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the… | 180 | $20 | $3.1K |
| 99204 | The 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… | 10 | $60 | $900 |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 20 | $40 | $870 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 40 | $10 | $240 |
| 85007 | The lab analyst performs a technical lab test on stained blood smears to microscopically examine and manually count and differentiate white blood cells, or WBCs, also called leukocytes. The… | 40 | $1 | $160 |
| 85025 | A 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… | 10 | $10 | $80 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 30 | $1 | $30 |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established 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… | 989 | 14,680 | 300 | $50 | $48.7K |
| 85025 | A 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… | 776 | 830 | 700 | $1 | $47.5K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 132 | 150 | 170 | $50 | $39.9K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 298 | 340 | 1,190 | $1 | $23.8K |
| 99204 | The 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… | 2,333 | 2,800 | 60 | $80 | $17.7K |
| 96375 | Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the… | 34 | 80 | 120 | $20 | $17.1K |
| 85007 | The lab analyst performs a technical lab test on stained blood smears to microscopically examine and manually count and differentiate white blood cells, or WBCs, also called leukocytes. The… | 98 | 110 | 440 | $1 | $3.4K |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 19 | 20 | 310 | $1 | $790 |
Other providers in the same ZIP code as Evelena Ontiveros, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Board Of Trustees Of Southern Illinois University | IL | Federally Qualified Health Center (FQHC) | $0 | $8.6M |
| Maurice Schuetz | IL | Anatomic Pathology & Clinical Pathology Physician | $85.7K | $1.1M |
| Michael Stauder | IL | Optometrist | $123.4K | $729.7K |
| Jonathan Locke | IL | Diagnostic Radiology Physician | $335.8K | $508.5K |
| Jeffrey Boorstein | IL | Diagnostic Radiology Physician | $185.7K | $558.2K |
| Mario Velasco | IL | Medical Oncology Physician | $569.8K | $124K |
| Mark Muscato | IL | Diagnostic Radiology Physician | $270.6K | $394.7K |
| Gailey Eye Surgery-decatur LLC | IL | Ambulatory Surgical Clinic/Center | $599.5K | $0 |
| Perry Guaglianone | IL | Hematology & Oncology Physician | $411.8K | $119.6K |
| Benjamin Esparaz | IL | Hematology & Oncology Physician | $391.4K | $62.9K |
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