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    OpenPayerNPI Medicare & MedicaidAvia Lowe
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    Avia Lowe — Billing Profile & Reimbursement Data

    NPI 1780312942 · Chicago, IL · Audiologist

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    Avia Lowe is a audiologist provider located in Chicago, Illinois. This profile covers 4 Medicare and 11 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
    OrganizationAvia Lowe
    Address1401 S California Ave
    CityChicago
    StateIL
    ZIP60608
    TaxonomyAudiologist
    NPI EnumeratedAugust 15, 2022

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

    Payer SourceTotal Paid
    Medicaid$529.5K
    Medicare$2.5K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…40$30$1.1K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.50$10$650
    92553The provider presents the patient with a series of tones at varying intensities to identify the softest level at which the patient can hear to access hearing and determine the type and amount of…20$30$560
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…20$20$240

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9255725235090$30$3.1K
    9258751020$20$1.7K
    9256716830070$10$1.2K
    92553234020$30$880

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V5140Binaural, behind the ear280$750$209.3K
    V5160Dispensing fee, binaural420$360$149.7K
    V5014Repair/modification of a hearing aid280$310$85.3K
    V5266Battery for use in hearing device920$20$22.2K
    V5260Hearing aid, digital, binaural, ite30$750$21.8K
    V5264Ear mold/insert, not disposable, any type240$70$17K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…300$30$8.3K
    92591N/A240$30$7.9K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.460$10$5K
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…100$20$2.2K

    Showing 1–10 of 11

    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

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V5140Binaural, behind the ear720170$720$568.2K
    V5160Dispensing fee, binaural1440190$350$225.1K
    V5014Repair/modification of a hearing aid620100$310$116.9K
    V5266Battery for use in hearing device1850300$20$112.2K
    V5264Ear mold/insert, not disposable, any type1730250$70$40K
    92591N/A1430240$30$21.9K
    V5260Hearing aid, digital, binaural, ite11030$750$16.5K
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…62100190$20$11.6K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…51180120$30$9K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.71240130$10$5.9K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Timothy RemecILAudiologist$17.6K$1.5M
    James ShehornILAudiologist$23.7K$420.1K
    Hana HueserILAudiologist$6K$284.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pilsen Little Village Community Mental Health Center, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$110.7M
    The Board Of Trustees Of The University Of IllinoisILFederally Qualified Health Center (FQHC)$0$72.7M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$40M
    Russell FiorellaILClinical Pathology/Laboratory Medicine Physician$4K$17.3M
    Mount Sinai Hospital Medical CenterILMental Health Clinic/Center (Including Community Mental Health Center)$0$15.6M
    Alivio Medical Center, Inc.ILFederally Qualified Health Center (FQHC)$0$12.3M
    Alivio Medical Center, Inc.ILFederally Qualified Health Center (FQHC)$0$12M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$11.7M
    Easter Seals Metropolitan ChicagoILCase Management Agency$0$8.9M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$7.6M

    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
    Avia Lowe — 0 of 4 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
    1 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Avia Lowe — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois