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NPI 1962486480 · Chicago, IL · Anatomic Pathology & Clinical Pathology Physician
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Thomas Betlej is a anatomic pathology & clinical pathology physician provider located in Chicago, Illinois. This profile covers 13 Medicare and 123 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 | Thomas Betlej |
| Address | 1653 W Congress Pkwy |
| City | Chicago |
| State | IL |
| ZIP | 60612 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | November 30, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.5M |
| Medicare | $72.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 1,340 | $30 | $44.2K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 120 | $60 | $7.6K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 320 | $20 | $7.1K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 160 | $30 | $4.3K |
| 88331 | Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during… | 40 | $50 | $1.8K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 60 | $30 | $1.8K |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 10 | $140 | $1.5K |
| 88112 | Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in… | 70 | $20 | $1.4K |
| 85060 | The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination. | 50 | $20 | $860 |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 40 | $20 | $740 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 98 | 580 | 610 | $30 | $38.2K |
| 88341 | 144 | 450 | 210 | $30 | $11.9K |
| G0416 | 108 | 120 | 20 | $210 | $10.9K |
| 88342 | 176 | 490 | 120 | $40 | $9K |
| 88360 | 138 | 260 | 60 | $60 | $7.7K |
| 88307 | 92 | 390 | 80 | $70 | $6.1K |
| 88312 | 162 | 310 | 40 | $50 | $5.7K |
| 88112 | 128 | 230 | 80 | $30 | $4.1K |
| 88331 | 66 | 190 | 30 | $50 | $2.2K |
| 85060 | 56 | 150 | 30 | $20 | $1.7K |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
123 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 16,280 | $50 | $781.2K |
| 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. | 64,940 | $10 | $324.7K |
| 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… | 78,890 | $1 | $236.7K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 9,840 | $20 | $206.7K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 24,280 | $10 | $194.2K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 2,780 | $40 | $108.5K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 11,370 | $10 | $91K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 21,630 | $1 | $86.5K |
| 87088 | The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification. | 16,480 | $10 | $82.4K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 4,700 | $10 | $65.9K |
Showing 1–10 of 123
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
123 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 29 | 350 | 400 | $70 | $514.7K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 64 | 80 | 530 | $130 | $505.1K |
| 0240U | N/A | 21 | 20 | 240 | $120 | $403.4K |
| 0202U | This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the… | 21 | 50 | 270 | $230 | $271.9K |
| 87636 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic… | 27 | 130 | 70 | $120 | $240.2K |
| 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. | 202 | 280 | 1,120 | $30 | $218.9K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 38 | 170 | 150 | $200 | $190.9K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 4 | 110 | 150 | $40 | $184.1K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 95 | 360 | 600 | $30 | $165.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 95 | 360 | 630 | $30 | $165K |
Showing 1–10 of 123
Other providers in the same ZIP code as Thomas Betlej, 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 |
| 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 |
| Michael Miloro | IL | Oral & Maxillofacial Surgery (D.M.D.) | $0 | $9.5M |
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