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    OpenPayerNPI Medicare & MedicaidMilton Chavez
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    Milton Chavez — Billing Profile & Reimbursement Data

    NPI 1700869450 · Chicago, IL · Family Medicine Physician

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    Milton Chavez is a family medicine physician provider located in Chicago, Illinois. This profile covers 8 Medicare and 36 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMilton Chavez
    Address1509 N Western Ave Unit A
    CityChicago
    StateIL
    ZIP60622
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 28, 2005

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

    Payer SourceTotal Paid
    Medicaid$384.1K
    Medicare$27.4K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…110$90$10.3K
    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…90$60$5.4K
    99493A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…40$110$4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$80$4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$120$2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.80$10$640
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…60$10$610
    G2010Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not…60$10$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,26518,540110$80$17.1K
    G04393,6174,03070$130$13.6K
    992152,8226,24040$120$10.1K
    992137,85417,39070$60$8.8K
    9949321030$110$3.7K
    364152,2094,18090$10$2.7K
    G201031060$10$960
    G201231020$10$620

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,420$70$97.6K
    99423Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…1,290$40$49.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…490$60$29.8K
    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…590$50$27.7K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…580$50$27K
    99493A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…380$70$26.3K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.1,190$20$22.5K
    G2252Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…880$20$19.3K
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…1,070$10$12.8K
    G2010Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not…1,300$10$11.7K

    Showing 1–10 of 36

    Medicaid: Competitive Analysis & Benchmarks

    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

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source212400550$20$90.8K
    99214The 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…2,58014,680300$50$48.7K
    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…5,13814,190280$20$38.9K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…16889090$40$35K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…78130440$20$25.7K
    99493A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…210200$70$17K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…3182,32070$50$13.8K
    99423Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…55070$30$13.3K
    G0472Hepatitis c antibody screening, for individual at high risk and other covered indication(s)810480$10$12.1K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.4644080$20$10K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primecare Community Health Inc.ILFederally Qualified Health Center (FQHC)$0$11.7M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$11.3M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$10.1M
    Primecare Community Health IncILFederally Qualified Health Center (FQHC)$0$8.5M
    Primecare Community Health IncILFederally Qualified Health Center (FQHC)$0$5.3M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$4.3M
    William StephanILInterventional Cardiology Physician$1.4M$8.4K
    Elmer MurdockILInterventional Cardiology Physician$1M$64K
    Michael TrybulaILCardiovascular Disease Physician$877.6K$47.1K
    Samuel HaywardILEmergency Medicine Physician$132.9K$775.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Erie Family Health Center, IncILFederally Qualified Health Center (FQHC)$0$143M
    Erie Family Health Center IncILFederally Qualified Health Center (FQHC)$0$11.2M
    Orbit Medical Of Chicago LLCILDurable Medical Equipment & Medical Supplies$0$10.7M
    Erie Family Health Center IncILFederally Qualified Health Center (FQHC)$0$9.5M
    Ayman JabrILFamily Medicine Physician$193.6K$4.3M
    Presence Chicago Hospitals NetworkILGeneral Acute Care Hospital$0$4.4M
    Lubov KlemineILFamily Medicine Physician$2.3K$3.6M
    James DiesfeldILInterventional Pain Medicine Physician$32.6K$3.5M
    Eric ChuangILInternal Medicine Physician$1.5M$1.7M
    Ogbonnaya AneziokoroILNephrology Physician$525.3K$1.8M

    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
    Milton Chavez — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Milton Chavez — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois