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    OpenPayerNPI Medicare & MedicaidKathleen Pyles
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    Kathleen Pyles — Billing Profile & Reimbursement Data

    NPI 1881169381 · Skokie, IL · Family Nurse Practitioner

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    Kathleen Pyles is a family nurse practitioner provider located in Skokie, Illinois. This profile covers 5 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
    OrganizationKathleen Pyles
    Address9650 Gross Point Rd # 4900
    CitySkokie
    StateIL
    ZIP60076
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedOctober 10, 2018

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

    Payer SourceTotal Paid
    Medicare$62.2K
    Medicaid$200

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…310$110$33.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…250$80$19K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…380$20$8K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…20$50$1.1K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.10$60$640

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993095761,400180$80$29.5K
    993105462070$110$15K
    9934848556070$50$9K
    9931511112020$60$2.4K
    G031749070$20$2.4K

    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
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$10$190

    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
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…4,5824,800210$30$29.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hdc Care Solutions, LLCMANurse Practitioner$0$8M
    Naresh DasariRIInternal Medicine Physician$199.5K$7M
    Jun ParksRIInternal Medicine Physician$74.6K$5M
    Monique JonesMIFamily Nurse Practitioner$1.6M$0
    Joseph AlessandroCTHospice and Palliative Medicine (Family Medicine) Physician$38.1K$1.3M
    Judy SchroederILNurse Practitioner$244K$495.1K
    Colleen MikulaMIAdult Health Nurse Practitioner$117.6K$349.9K
    Laura GrecoILFamily Nurse Practitioner$236.3K$202.6K
    Talia NelsonILPsychiatric/Mental Health Nurse Practitioner$209.4K$115.6K
    Lady May PaneloNVFamily Nurse Practitioner$283.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lifeline Ambulance LLCILAmbulance$1.3M$26.3M
    Medtech Lab LLCILClinical Medical Laboratory$10.3M$1.3K
    Daniel GutsteinILFamily Medicine Physician$9.3M$640
    Vladimir UrbinILGeneral Practice Physician$4.2M$1.1M
    Care Clinical Lab IncILClinical Medical Laboratory$1.5M$3M
    Nobel Medical IncILDurable Medical Equipment & Medical Supplies$0$4M
    Clear Sounds Inc Hearing Aids ServicesILAudiologist$0$3.7M
    Dav-kim Portable X Ray Service CoILPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$1.6M$2.1M
    Erin ArnoldILRheumatology Physician$3.2M$0
    Clear Sounds IncILDurable Medical Equipment & Medical Supplies$0$3M

    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
    Kathleen Pyles — 1 of 5 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Kathleen Pyles — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois