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NPI 1720243645 · Kankakee, IL · Pulmonary Disease Physician
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Roselle Almeida is a pulmonary disease physician provider located in Kankakee, Illinois. This profile covers 19 Medicare and 9 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 | Roselle Almeida |
| Address | 500 N Wall St Ste C400 |
| City | Kankakee |
| State | IL |
| ZIP | 60901 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | July 21, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $178.7K |
| Medicare | $145.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 640 | $90 | $59.2K |
| 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… | 250 | $90 | $23K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 110 | $170 | $18.8K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 210 | $60 | $13.1K |
| 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 | $10.3K |
| 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… | 60 | $110 | $7K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 50 | $100 | $5.1K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 10 | $220 | $2.6K |
| 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… | 10 | $110 | $1.6K |
| 31624 | In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the… | 20 | $70 | $1.1K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99233 | 1,554 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 1,079 | 18,540 | 110 | $80 | $17.1K |
| 99291 | 562 | 2,940 | 50 | $170 | $13.4K |
| 99232 | 2,198 | 7,960 | 90 | $60 | $12.4K |
| 99223 | 1,952 | 6,190 | 50 | $140 | $10.4K |
| 99215 | 5,629 | 6,240 | 40 | $120 | $10.1K |
| 99204 | 2,170 | 8,580 | 30 | $110 | $5.6K |
| 99496 | 491 | 560 | 20 | $210 | $5.5K |
| 99222 | 1,734 | 5,730 | 30 | $100 | $5.3K |
| 94726 | 115 | 310 | 80 | $20 | $2.2K |
Showing 1–10 of 19
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.
9 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… | 2,770 | $40 | $116.5K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,670 | $20 | $30K |
| 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… | 730 | $30 | $24.7K |
| 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… | 50 | $60 | $3K |
| 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… | 20 | $90 | $2.2K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 90 | $10 | $770 |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 10 | $30 | $460 |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 80 | $10 | $410 |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 80 | $1 | $320 |
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
9 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… | 1,104 | 14,680 | 300 | $50 | $48.7K |
| 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… | 987 | 3,830 | 210 | $40 | $29.4K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 700 | 4,800 | 210 | $30 | $29.3K |
| 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… | 1,825 | 2,460 | 60 | $70 | $18.1K |
| 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… | 1,474 | 2,800 | 60 | $80 | $17.7K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,080 | 1,330 | 50 | $50 | $12.7K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 88 | 180 | 80 | $20 | $4K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 88 | 180 | 70 | $10 | $1.6K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 88 | 200 | 70 | $10 | $1.1K |
Other providers in the same ZIP code as Roselle Almeida, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $19.3M |
| City Of Kankakee | IL | Land Ambulance | $318.9K | $11.4M |
| Cornerstone Services Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $6.1M |
| Saadia Zaheer | IL | Pediatrics Physician | $0 | $5.9M |
| Safwat Iskander | IL | Pediatrics Physician | $0 | $4.1M |
| Aunt Martha's Health And Wellness, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $3.3M |
| Cornerstone Services, Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $2.9M |
| Steven Decker | IL | Emergency Medicine Physician | $114.6K | $582.8K |
| Martin Phillips | IL | Infectious Disease Physician | $333.5K | $254.7K |
| Joseph Pigato | IL | Urology Physician | $352.5K | $23.1K |
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