Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sycamore Cusd #427 (NPI 1902041585)

Sycamore Cusd #427 is a local education agency (lea) provider located in Sycamore, Illinois. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Sycamore Cusd #427
Address	245 W Exchange St
City	Sycamore
State	IL
ZIP	60178
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	December 10, 2008

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1021	Home health aide or certified nurse assistant, per visit	15,130	$60	$907.9K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	43,970	$20	$879.4K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	18,240	$30	$602.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	13,250	$30	$371.1K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	33,590	$10	$369.5K
T1002	Rn services, up to 15 minutes	9,250	$30	$268.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	5,870	$30	$170.2K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	3,820	$30	$126K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2,180	$30	$67.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	9,290	$10	$65K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Sycamore Cusd #427 — 5 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1021	Home health aide or certified nurse assistant, per visit	40	150	4,590	$30	$430.6K
T1002	Rn services, up to 15 minutes	15	140	840	$60	$428K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	38	620	5,060	$10	$205.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	307	1,220	540	$60	$179.4K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	11	460	1,480	$30	$132K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	54	1,210	1,070	$30	$102.1K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	103	230	2,330	$10	$66.5K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	10	380	2,820	$10	$64.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	59	300	1,420	$10	$53.1K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	7	140	280	$30	$51.3K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Family Health	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Paul Nguyen	IL	Cardiovascular Disease Physician	$678.4K	$616K
Asad Shah	IL	Internal Medicine Physician	$598.4K	$500.7K
Dekalb Surgical Services, LLC	IL	Ambulatory Surgical Clinic/Center	$914.7K	$0
Ibrahim Alghafeer	IL	Rheumatology Physician	$583K	$125.4K
Dhaval Thakkar	IL	Internal Medicine Physician	$490.1K	$47.2K
Manav Salwan	IL	Internal Medicine Physician	$357.4K	$123.3K
Rajeev Jain	IL	Orthopaedic Surgery Physician	$450.5K	$15.9K
Matthew Johnson	IL	Ophthalmology Physician	$387.6K	$5.9K
Amanda Friedrichs	IL	Dermatology Physician	$338.8K	$0

Sycamore Cusd #427 — Billing Profile & Reimbursement Data

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Sycamore Cusd #427 — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References