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NPI 1841463486 · Peoria, IL · Nurse Practitioner
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Gloria Riley is a nurse practitioner provider located in Peoria, Illinois. This profile covers 34 Medicare and 6 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 | Gloria Riley |
| Address | 8940 N Wood Sage Rd |
| City | Peoria |
| State | IL |
| ZIP | 61615 |
| Taxonomy | Nurse Practitioner |
| NPI Enumerated | April 3, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $129.5K |
| Medicaid | $64.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 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… | 690 | $80 | $53.9K |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 16,500 | $1 | $16.5K |
| 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… | 200 | $50 | $9.7K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 80 | $80 | $6.7K |
| J1750 | Injection, iron dextran, 50 mg | 280 | $10 | $3.3K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 320 | $10 | $2.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 20 | $110 | $2.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 300 | $10 | $2.4K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 60 | $40 | $2.4K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 200 | $10 | $2K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1439 | 59 | 80 | 25,500 | $1 | $30K |
| 96413 | 221 | 370 | 130 | $100 | $19.3K |
| 99214 | 898 | 18,540 | 110 | $80 | $17.1K |
| 84443 | 476 | 530 | 80 | $20 | $11K |
| Q0138 | 15 | 60 | 19,890 | $1 | $10.6K |
| 99215 | 4,533 | 6,240 | 40 | $120 | $10.1K |
| 80053 | 279 | 810 | 90 | $10 | $9.4K |
| 99213 | 3,739 | 17,390 | 70 | $60 | $8.8K |
| 85025 | 218 | 850 | 90 | $10 | $6.6K |
| 96365 | 248 | 410 | 90 | $50 | $6.6K |
Showing 1–10 of 34
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.
6 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… | 1,580 | $40 | $61.4K |
| 0011A | N/A | 20 | $40 | $670 |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 100 | $10 | $590 |
| 0012A | N/A | 10 | $40 | $550 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 30 | $10 | $400 |
| 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… | 10 | $20 | $290 |
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
6 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… | 2,275 | 14,680 | 300 | $50 | $48.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 576 | 830 | 700 | $1 | $47.5K |
| 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… | 13,880 | 14,190 | 280 | $20 | $38.9K |
| 0012A | N/A | 312 | 340 | 60 | $40 | $6.9K |
| 0011A | N/A | 307 | 350 | 60 | $30 | $6K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 400 | 680 | 40 | $10 | $1.4K |
Other providers in the same ZIP code as Gloria Riley, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| J A K Enterprises Inc | IL | Eyewear Supplier | $0 | $13.9M |
| Saint Francis Medical Center | IL | Home Health Agency | $0 | $11.3M |
| Osf Healthcare System | IL | Home Infusion Therapy Pharmacy | $0 | $10.3M |
| Min-kyu Han | IL | Ophthalmology Physician | $4.9M | $547.6K |
| Luke Xie | IL | Family Medicine Physician | $41.9K | $2.9M |
| Center For Health Ambulatory Surgery Center, LLC | IL | Ambulatory Surgical Clinic/Center | $2.8M | $0 |
| Cristen Banks | IL | Nurse Practitioner | $2M | $17.5K |
| Mohammad Asad | IL | Hematology & Oncology Physician | $1.6M | $93.6K |
| Gary Macvicar | IL | Hematology & Oncology Physician | $1.5M | $169.3K |
| Nadia Rehman | IL | Hematology & Oncology Physician | $1.5M | $141.7K |
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