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.

Espoir Lab Inc (NPI 1902534845)

Field	Value
Entity Type	Organization
Organization	Espoir Lab Inc
Address	6257 N Clark St
City	Chicago
State	IL
ZIP	60660
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	August 9, 2022

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0240U	N/A	22,310	$140	$3M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	21,830	$40	$873.3K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2,020	$170	$334.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2,020	$50	$92.7K

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

Espoir Lab Inc — 2 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	10	20	940	$110	$1.1M
0240U	N/A	2	20	240	$120	$403.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	111	280	1,120	$30	$218.9K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	8	550	240	$40	$42.4K

Nearby Providers

Other providers in the same ZIP code as Espoir Lab Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tapestry 360 Health	IL	Federally Qualified Health Center (FQHC)	$0	$63.8M
Adapt Of Illinois, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.5M
Hamdard Health Alliance	IL	Federally Qualified Health Center (FQHC)	$0	$5.4M
Calling Care Services Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Community Counseling Centers Of Chicago	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Rajendra Mullapudi	IL	Internal Medicine Physician	$626.8K	$2.2M
Rachael St. Peter	IL	Podiatrist	$80.8K	$170
Gail Hajjar	IL	Anesthesiology Physician	$8.2K	$0

Espoir Lab Inc — Billing Profile & Reimbursement Data

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Espoir Lab Inc — 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