Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Joseph Debartolo (NPI 1720494396)

Key Findings

Field	Value
Entity Type	Individual
Organization	Joseph Debartolo
Address	Sherman Hospital
City	Elgin
State	IL
ZIP	60123
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 3, 2014

Payer Source	Total Paid
Medicaid	$186.3K
Medicare	$0

This provider reports no Medicare billing on file and is effectively a single‑payer Medicaid practitioner; total Medicaid revenue on file is $186.3K and there is no Medicare revenue to compare. The absence of Medicare claims suggests the provider’s current billing footprint is concentrated in state Medicaid rather than in traditional Medicare patient populations.

Revenue concentration is high within Medicaid billing: the top three Medicaid codes account for 84.2% of the provider’s total Medicaid revenue. The largest single code is 70450, which produces $101.3K (54.5% of Medicaid revenue), followed by 74177 with $43.7K (23.5%) and 71045 with $11.7K (6.3%), indicating a narrow set of services drives most revenue.

Business/service-line mix is heavily weighted to CT imaging and basic radiography. The top two revenue drivers are CT studies (70450 — CT head without contrast, and 74177 — CT abdomen/pelvis with contrast), together making up the majority of Medicaid revenue, while 71045 (single‑view chest radiograph) contributes a smaller but notable share; this pattern is consistent with a diagnostic radiology practice that performs high-volume CT for acute or urgent diagnostic work.

Competitive standing within Illinois is modest for the provider’s top codes: 70450 ranks #200 of 882 providers in-state (77th percentile) and 74177 ranks #206 of 919 providers (78th percentile), both labeled as typical, unremarkable volume for those codes. These rankings indicate the provider is a normal-volume participant in CT head and abdominal/pelvic CT statewide rather than a dominant or outlier provider for those services.

Secondary service breadth is present but limited in revenue. MRI brain with and without contrast (70553 at $8.2K, 4.4% of Medicaid revenue) and multiple chest X‑ray views (71046 at $4.6K, 2.5%) appear in the top code list, along with smaller contributions from spine CT/MRI and ultrasound codes, suggesting access to cross‑modality imaging but with much lower Medicaid revenue share compared to CT head and CT abdomen/pelvis.

Statistical standing for nearly all reported Medicaid codes is characterized in the dataset as "typical, unremarkable volume" or lower percentiles; for example, 70450 (77th percentile), 74177 (78th percentile), and 71045 (64th percentile). There are no codes in this profile flagged as high outliers or unusually concentrated relative to in‑state peers, which supports a conclusion of routine service volumes rather than exceptional specialization.

Operational tenure is established: the provider’s NPI was enumerated on 2014-07-03 (~12 years ago), indicating roughly a decade of recorded enrollment and the potential for an established referral or operational history within the local market. This tenure combined with typical code percentiles suggests a stable, mid‑level practice presence in state Medicaid imaging markets.

From a payer‑strategy perspective, the combination of concentrated Medicaid revenue ($186.3K total) and no Medicare activity means any payer contracting, utilization management, or network decisions should treat this entity primarily as a Medicaid imaging resource focused on CT services. The heavy reliance on three codes (84.2% of Medicaid revenue) also implies revenue risk if reimbursement or referral patterns for CT head and CT abdomen/pelvis change materially.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,540	$70	$101.3K
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.	950	$50	$43.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	2,330	$10	$11.7K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	100	$80	$8.2K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	770	$10	$4.6K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	50	$60	$3.2K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	80	$40	$2.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	50	$40	$2K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	20	$70	$1.7K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	50	$20	$1.1K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Joseph Debartolo — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	200	880	570	$60	$62.9K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	125	210	160	$90	$35.2K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	516	620	340	$40	$29.4K
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.	206	920	400	$50	$29.1K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	109	150	80	$80	$23.2K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	79	110	90	$60	$19.6K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	74	160	50	$90	$17.2K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	376	530	80	$50	$13.8K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	421	530	270	$20	$12.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	412	1,150	1,520	$1	$10.5K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Paul Albertine	IL	Diagnostic Radiology Physician	$99.7K	$670.3K
Chiedozie Mkpolulu	IL	Diagnostic Radiology Physician	$676K	$59.3K
Pradeep Jacob	TN	Diagnostic Radiology Physician	$108.2K	$591.5K
Jeffrey Desanto	AZ	Diagnostic Radiology Physician	$98.9K	$546.5K
Nila Alsheik	IL	Diagnostic Radiology Physician	$332.8K	$300.3K
Glen Geremia	IL	Neuroradiology Physician	$185.4K	$442.6K
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Samuel Rajkowski	IL	Diagnostic Radiology Physician	$144.3K	$435.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ecker Center For Behavioral Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20M
A-tec Ambulance Service Inc	IL	Land Ambulance	$3.4M	$8.3M
Kenneth Laferle	IL	Audiologist	$8K	$5.8M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$5.1M
Cranial Technologies, Inc.	IL	Prosthetic/Orthotic Supplier	$0	$4M
Veerpal Singh	IL	Hematology & Oncology Physician	$3.4M	$67.3K
Syed Zahir	IL	Hematology & Oncology Physician	$3.1M	$72.4K
Suleman Bangash	IL	Dermatology Physician	$3M	$5.2K
Rashmi Kapur	IL	Ophthalmology Physician	$1.6M	$1.1M
Rehan Hussain	IL	Ophthalmology Physician	$2.2M	$236K

Joseph Debartolo — Billing Profile & Reimbursement Data

Sign up for Joseph Debartolo — Billing Profile & Reimbursement Data policy alerts

Joseph Debartolo — Billing Profile & Reimbursement Data

Sign up for Joseph Debartolo — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References