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    OpenPayerNPI Medicare & MedicaidPrentiss Taylor
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    Prentiss Taylor — Billing Profile & Reimbursement Data

    NPI 1801055983 · Chicago, IL · Internal Medicine Physician

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    Prentiss Taylor is a internal medicine physician provider located in Chicago, Illinois. This profile covers 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationPrentiss Taylor
    Address9831 S Western Ave
    CityChicago
    StateIL
    ZIP60643
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 4, 2008

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

    Payer SourceTotal Paid
    Medicaid$36.3K
    Medicare$19.2K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…130$100$12.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$130$3.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$70$1.6K
    G0008Administration of influenza virus vaccine20$30$700
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.50$10$390
    G0009Administration of pneumococcal vaccine10$30$350
    82948The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.30$10$150

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,56018,540110$80$17.1K
    G04393,0744,03070$130$13.6K
    906622,3333,06050$70$4.9K
    G00083,5454,59050$30$2.8K
    364152,7234,18090$10$2.7K
    G00092,5482,73020$30$840
    8294831030$1$170

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…540$70$36.1K

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…5,57614,680300$50$48.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard BoneILGastroenterology Physician$1.8M$28.2M
    Activstyle LLCILDurable Medical Equipment & Medical Supplies$0$11.6M
    Easter Seals Metropolitan Chicago, Inc.ILCase Management Agency$0$6M
    James DavenportILClinical Psychologist$98.9K$4.6M
    Addus Healthcare IncILIn Home Supportive Care Agency$0$3M
    Vascular Access Centers Of Illinois At Morgan Park, LLCILAmbulatory Surgical Clinic/Center$1.1M$0
    Helen TchengILPediatrics Physician$36.1K$477.2K
    Charles PreyarILClinical Social Worker$21.4K$365.8K
    Hamid NazeerILVascular & Interventional Radiology Physician$140.1K$108K
    Kristin WalshILPhysical Therapist$92.9K$0

    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
    Prentiss Taylor — 0 of 7 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
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Prentiss Taylor — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois