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NPI 1811974462 · Aurora, IL · Orthopaedic Surgery Physician
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Thomas Mcgivney is a orthopaedic surgery physician provider located in Aurora, Illinois. This profile covers 11 Medicare and 3 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 | Thomas Mcgivney |
| Address | 2111 Ogden Ave |
| City | Aurora |
| State | IL |
| ZIP | 60504 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | December 26, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $64.1K |
| Medicaid | $24K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 240 | $100 | $24.1K |
| 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… | 100 | $130 | $13.5K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 10 | $640 | $7K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 180 | $30 | $5.3K |
| 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… | 60 | $70 | $4.4K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 40 | $110 | $3.9K |
| 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 | $140 | $2.9K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 30 | $30 | $900 |
| 72052 | In this diagnostic procedure, the provider performs six or more X–ray views of the cervical spine. The goal of this study is to examine the patient's spine for such conditions as abnormal curves,… | 20 | $50 | $870 |
| 72020 | In this diagnostic procedure, the provider performs a single view radiological examination of a specific level of the spine. He may examine either the cervical, thoracic, or lumbar part of the spine… | 50 | $20 | $810 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 5,045 | 18,540 | 110 | $80 | $17.1K |
| 63047 | 121 | 140 | 20 | $610 | $14.6K |
| 99223 | 4,715 | 6,190 | 50 | $140 | $10.4K |
| 99213 | 9,546 | 17,390 | 70 | $60 | $8.8K |
| 72148 | 419 | 700 | 50 | $80 | $6.2K |
| 99204 | 880 | 8,580 | 30 | $110 | $5.6K |
| 73502 | 972 | 1,390 | 50 | $20 | $1.5K |
| 72100 | 47 | 1,030 | 30 | $20 | $910 |
| 72052 | 23 | 40 | 20 | $30 | $560 |
| 72070 | 68 | 160 | 20 | $10 | $440 |
Showing 1–10 of 11
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.
3 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… | 230 | $60 | $12.9K |
| 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… | 100 | $80 | $7.7K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 140 | $20 | $3.3K |
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
3 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… | 8,128 | 14,680 | 300 | $50 | $48.7K |
| 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… | 1,059 | 2,800 | 60 | $80 | $17.7K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 131 | 410 | 60 | $10 | $2.8K |
Other providers in the same ZIP code as Thomas Mcgivney, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Connect Hearing Inc | IL | Hearing Aid Equipment | $0 | $12.9M |
| Aunt Martha's Health And Wellness, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $6.4M |
| Ali Khan | IL | General Practice Dentistry | $0 | $4.3M |
| Imran Qureshi | IL | Vascular & Interventional Radiology Physician | $155K | $601.8K |
| Javwaud Zafar | IL | Vascular & Interventional Radiology Physician | $98.9K | $442.5K |
| Bob Manam | IL | Infectious Disease Physician | $197.8K | $337K |
| Sanjiv Upadhyay | IL | Otolaryngology Physician | $54.7K | $356.5K |
| Philip Moore | IL | Internal Medicine Physician | $338K | $47.7K |
| John Doumanian | IL | Diagnostic Radiology Physician | $91K | $260.5K |
| Rafay Ahmed | IL | Diagnostic Radiology Physician | $134K | $172.3K |
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