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    OpenPayerNPI Medicare & MedicaidChintan Mistry
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    Chintan Mistry — Billing Profile & Reimbursement Data

    NPI 1841206687 · Oak Lawn, IL · Emergency Medicine Physician

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    Chintan Mistry is a emergency medicine physician provider located in Oak Lawn, Illinois. This profile covers 48 Medicare and 39 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
    OrganizationChintan Mistry
    Address4440 W 95th St
    CityOak Lawn
    StateIL
    ZIP60453
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedAugust 1, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$301K

    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…1,680$90$155.9K
    77063The 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…1,670$20$40.1K
    71046In 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…1,180$20$17.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.400$30$10.8K
    72100The 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…390$20$7.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.340$20$5.8K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.200$30$5.6K
    73502In 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…210$30$5.3K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.90$60$4.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.200$20$4.5K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7706719510320$50$25.3K
    7706319490320$30$15.7K
    766416015030$60$3.1K
    7706636638050$50$3K
    7706536041060$40$3K
    7664235241070$30$2.5K
    735645221,03040$30$2.3K
    71046171,490100$10$2.1K
    765368665040$40$1.9K
    7670027035020$50$1.9K

    Showing 1–10 of 48

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…11,200$60$716.9K
    77063The 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…10,990$20$186.8K
    71046In 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…11,050$10$110.5K
    72100The 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…4,470$10$58.1K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.5,000$10$55K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.1,650$30$54.4K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…1,430$30$41.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.3,230$10$32.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.2,740$10$27.4K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.2,130$10$23.5K

    Showing 1–10 of 39

    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

    39 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067The 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…3620340$40$29.4K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…377050$100$25K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.305050$110$15.7K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.2153080$50$13.8K
    77063The 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…2530270$20$12.7K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.2350210$40$12.5K
    71045In 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…1,0001,1501,520$1$10.5K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…1343060$40$9.7K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…127170100$30$8.6K
    71046In 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…71,410610$10$8.4K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard BoneILGastroenterology Physician$1.8M$28.2M
    Ayman RawdaILPediatrics Physician$0$15M
    Kevin MccuneILFamily Medicine Physician$0$9.6M
    Ghiath Al KassarILPediatrics Physician$0$6.4M
    Mazen RachidILPediatrics Physician$0$5.1M
    Mohamed AdenwallaILOphthalmology Physician$2.3M$2.4M
    Aaron WeinbergILRetina Specialist (Ophthalmology) Physician$3.3M$1.2M
    Advocate Health And Hospitals CorporationILGeneral Acute Care Hospital$0$3.9M
    Subash AroraILNeonatal-Perinatal Medicine Physician$0$3.4M
    Omprakash SawlaniILPediatrics Physician$0$3.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Village Of Oak LawnILLand Ambulance$649.5K$11.6M
    Oda Solutions, IncILMethadone Clinic$0$9.7M
    Ahmed RamahaILGeneral Practice Dentistry$0$4.9M
    Ghassan ZalzalehILHematology & Oncology Physician$3.1M$149K
    Amar HamadILHematology & Oncology Physician$3M$97.1K
    Sunil ShahILInternal Medicine Physician$256.6K$1.6M
    Rami HaddadILHematology & Oncology Physician$1.2M$219K
    Ashraf AbourahmaILCardiovascular Disease Physician$406.9K$731.9K
    Mohamad BarakatILNephrology Physician$528.6K$463.4K
    Charles BerkelhammerILSpecialist$239.7K$727K

    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
    Chintan Mistry — 9 of 25 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
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Chintan Mistry — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois