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NPI 1720206790 · Westmont, IL · Rheumatology Physician
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Carmelita Colbert is a rheumatology physician provider located in Westmont, Illinois. This profile covers 27 Medicare and 10 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 | Carmelita Colbert |
| Address | 801 N Cass Ave |
| City | Westmont |
| State | IL |
| ZIP | 60559 |
| Taxonomy | Rheumatology Physician |
| NPI Enumerated | April 23, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $83.8K |
| Medicaid | $70K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 330 | $100 | $31.6K |
| 99213 | The 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… | 300 | $70 | $20.8K |
| 86235 | The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,… | 340 | $20 | $6.2K |
| 99205 | The provider sees a new 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 provider… | 30 | $170 | $4.5K |
| 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… | 30 | $140 | $3.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 410 | $10 | $3.3K |
| 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… | 320 | $10 | $2.6K |
| 80076 | The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes. | 220 | $10 | $1.8K |
| 86140 | The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein. | 330 | $10 | $1.6K |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 210 | $10 | $1K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 86235 | 12 | 30 | 270 | $20 | $20.3K |
| 99214 | 3,519 | 18,540 | 110 | $80 | $17.1K |
| 82306 | 257 | 360 | 50 | $30 | $14.7K |
| 80053 | 406 | 810 | 90 | $10 | $9.4K |
| 99213 | 2,172 | 17,390 | 70 | $60 | $8.8K |
| 20610 | 1,475 | 1,550 | 60 | $50 | $7.6K |
| 85025 | 220 | 850 | 90 | $10 | $6.6K |
| 99205 | 1,370 | 2,730 | 30 | $160 | $5.7K |
| 99204 | 4,819 | 8,580 | 30 | $110 | $5.6K |
| 86704 | 8 | 10 | 20 | $10 | $5.2K |
Showing 1–10 of 27
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.
10 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… | 1,320 | $50 | $64.7K |
| 99213 | The 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 | $30 | $2.8K |
| 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… | 40 | $60 | $2.2K |
| 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… | 60 | $10 | $310 |
| 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. | 10 | $10 | $130 |
| 86140 | The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein. | 30 | $1 | $100 |
| 80076 | The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes. | 10 | $10 | $100 |
| 85652 | The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform. | 30 | $1 | $50 |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 10 | $1 | $50 |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 10 | $1 | $50 |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 716 | 740 | 960 | $10 | $75.9K |
| 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… | 2,771 | 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… | 620 | 830 | 700 | $1 | $47.5K |
| 99213 | The 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… | 9,955 | 14,190 | 280 | $20 | $38.9K |
| 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… | 1,745 | 2,800 | 60 | $80 | $17.7K |
| 80076 | The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes. | 201 | 200 | 450 | $1 | $9.1K |
| 86140 | The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein. | 232 | 250 | 800 | $1 | $8.5K |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 136 | 140 | 310 | $1 | $4.5K |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 59 | 60 | 200 | $1 | $4K |
| 85652 | The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform. | 219 | 240 | 520 | $1 | $3.3K |
Other providers in the same ZIP code as Carmelita Colbert, ranked by combined Medicare and Medicaid revenue.
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