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NPI 1700873106 · Westmont, IL · Family Medicine Physician
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Maria Douros is a family medicine physician provider located in Westmont, Illinois. This profile covers 15 Medicare and 1 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 | Maria Douros |
| Address | 801 N Cass Ave Ste 300 |
| City | Westmont |
| State | IL |
| ZIP | 60559 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | September 30, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $25.5K |
| Medicaid | $850 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 180 | $90 | $16.4K |
| 99215 | The 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… | 20 | $130 | $2.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | $130 | $2.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 90 | $10 | $720 |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 40 | $20 | $590 |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 40 | $10 | $360 |
| 82533 | The lab analyst measures the amount of total cortisol in a patient specimen. Cortisol is a steroid hormone generated from the adrenal glands. | 20 | $20 | $350 |
| 83525 | The lab analyst measures the total insulin level, typically in a serum sample. Total insulin measurement includes both the protein bound insulin and free insulin in the blood. | 30 | $10 | $350 |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 30 | $10 | $350 |
| 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… | 40 | $10 | $340 |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 6,546 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 3,562 | 4,030 | 70 | $130 | $13.6K |
| 84443 | 372 | 530 | 80 | $20 | $11K |
| 99215 | 4,757 | 6,240 | 40 | $120 | $10.1K |
| 80061 | 461 | 570 | 100 | $10 | $10.1K |
| 80053 | 582 | 810 | 90 | $10 | $9.4K |
| 85025 | 549 | 850 | 90 | $10 | $6.6K |
| 82607 | 336 | 370 | 40 | $10 | $5.2K |
| 82533 | 24 | 40 | 30 | $20 | $4.7K |
| 83525 | 9 | 20 | 30 | $10 | $3.6K |
Showing 1–10 of 15
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.
1 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… | 10 | $70 | $850 |
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
1 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… | 14,056 | 14,680 | 300 | $50 | $48.7K |
Other providers in the same ZIP code as Maria Douros, ranked by combined Medicare and Medicaid revenue.
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