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.

Rush University Medical Center (NPI 1932213600)

Field	Value
Entity Type	Organization
Organization	Rush University Medical Center
Address	1653 W Congress Pkwy
City	Chicago
State	IL
ZIP	60612
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

216 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2323	Injection, natalizumab, 1 mg	490	$4,500	$2.2M
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…	9,150	$90	$850.5K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	4,680	$60	$266.6K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,300	$100	$127.4K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,130	$90	$106.5K
0002A	N/A	2,450	$40	$100.3K
0001A	N/A	2,460	$40	$96K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	3,660	$20	$84.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,700	$50	$81.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	2,710	$30	$73.2K

Showing 1–10 of 216

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

Rush University Medical Center — 2 of 25 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

216 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2323	Injection, natalizumab, 1 mg	2	10	530	$4,690	$2.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	30	50	$50	$422.6K
87799	The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…	14	20	500	$30	$399.9K
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.	199	280	1,120	$30	$218.9K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	38	250	450	$40	$185.7K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	22	110	150	$40	$184.1K
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…	87	1,220	540	$60	$179.4K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	15	30	170	$50	$169.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	52	360	600	$30	$165.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	55	360	630	$30	$165K

Showing 1–10 of 216

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rush University Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jack Cohen	IL	Retina Specialist (Ophthalmology) Physician	$3.8M	$445.2K
Riverside Medical Center	IL	General Acute Care Hospital	$0	$3.7M
Alan Akira	IL	Psychiatry Physician	$13.9K	$2.9M
Rush Surgicenter At The Professional Building Ltd. Partnership	IL	Ambulatory Surgical Clinic/Center	$2.7M	$1.7K
Rush Oak Brook Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$2.5M	$0
John Horgan	NE	Urology Physician	$652.2K	$0
Sanjiv Upadhyay	IL	Otolaryngology Physician	$54.7K	$356.5K
Kelly Rhodes	IL	Psychiatry Physician	$77.5K	$205.7K
Shanita Valentine	IL	Nurse Practitioner	$270.7K	$0
Rush-copley Surgicenter, LLC	IL	Ambulatory Surgical Clinic/Center	$270.4K	$0

Nearby Providers

Other providers in the same ZIP code as Rush University Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cook County	IL	Multi-Specialty Clinic/Center	$0	$85.9M
Frederick Behm	IL	Anatomic Pathology & Clinical Pathology Physician	$440	$32.3M
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.1M
Sahar Alrayyes	IL	Pediatric Dentistry	$0	$20.3M
Western Labs Company	IL	Clinical Medical Laboratory	$18.4M	$8.4K
Susan Rowan	IL	Dentist	$0	$15.4M
Advance Lab Company	IL	Clinical Medical Laboratory	$14.5M	$0
Robert Decresce	IL	Anatomic Pathology & Clinical Pathology Physician	$62K	$12.4M
The Board Of Trustees Of The University Of Illinois	IL	Internal Medicine Physician	$0	$11.9M
Rush University Medical Center	IL	Early Intervention Provider Agency	$0	$10.1M

Rush University Medical Center — Billing Profile & Reimbursement Data

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Rush University Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References