Loading...
NPI 1972824142 · Warrenville, IL · Radiation Oncology Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Illinois Proton Center LLC is a radiation oncology clinic/center provider located in Warrenville, Illinois. This profile covers 18 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Illinois Proton Center LLC |
| Address | 4455 Weaver Pkwy |
| City | Warrenville |
| State | IL |
| ZIP | 60555 |
| Taxonomy | Radiation Oncology Clinic/Center |
| NPI Enumerated | June 22, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.3M |
| Medicaid | $11.1K |
ILLINOIS PROTON CENTER LLC is a highly specialized radiation oncology clinic focused on proton beam therapy and advanced radiotherapy services; its top Medicare revenue codes are 77523, 77525 and 77522 which together account for 78.0% of Medicare revenue, indicating the operation is primarily driven by proton therapy procedures (technical components) across simple, intermediate and complex treatment levels. The prominence of IMRT planning and physics codes such as 77301 and 77336 in the top Medicare list further supports a comprehensive radiotherapy service line with both sophisticated planning and ongoing physics oversight.
Revenue concentration on Medicare is extreme: the precomputed top-three Medicare codes (77523, 77525, 77522) generate 78.0% of the provider’s $4.3M Medicare revenue, showing heavy dependence on a narrow set of high-volume proton therapy technical services. By contrast, Medicaid activity is minimal in scale — total Medicaid revenue is $11.1K — meaning the practice is effectively Medicare-driven in scale and exposure.
Payer mix is heavily skewed toward Medicare: total Medicare revenue is $4.3M versus total Medicaid revenue of $11.1K, so Medicaid represents a negligible portion of reported public-payer income and the practice should be considered effectively single-payer dominant for Medicare-covered oncology care. The Medicaid billing that does exist is concentrated entirely in G6002 (100.0% of Medicaid revenue), reinforcing that any Medicaid footprint mirrors the Medicare service mix but at very low volume.
On national competitive standing for key Medicare codes, the center ranks at or near the top for several high-value items: 77525 ranks #1 of 27 providers (100th percentile) and 77523 ranks #8 of 111 providers (94th percentile), indicating national-level leadership in complex proton therapy volume. Additional Medicare codes show extreme outlier status as well: 77301 ranks #15 of 3815 (100th percentile) and G6002 ranks #1 of 2280 (100th percentile), both described as extreme outliers, which together portray the center as an unusually high-volume, specialized facility for certain planning and localization services relative to peers.
Several codes are flagged as statistical outliers or notably above typical national volume, signaling a concentrated high-throughput model: G6002 (stereoscopic x-ray guidance) is an extreme outlier and the top-ranked provider nationally for that code, 77301 (IMRT planning) is also an extreme outlier, and 77525 is nationally dominant for its code. These labels suggest the center has invested in the equipment, workflows, and referral streams necessary to support high-frequency proton delivery and associated localization and planning services.
Despite dominance in several proton and planning-related codes, some Medicare codes reflect more typical volumes: 77522 ranks #3 of 4 providers (33rd percentile) and codes like 77373 and 77295 sit at mid-to-low percentiles, indicating the provider’s exceptional scale is concentrated in specific proton therapy and guidance services rather than uniformly high volume across all radiotherapy procedure types. This mixed percentile profile implies a targeted service specialty rather than broad-spectrum radiation oncology volume across all modalities.
The provider has a long tenure in the NPI registry — enumerated on 2010-06-22 (~16 years ago) — which supports interpretation that the high volumes and specialized capability are established rather than newly developed. Sustained presence combined with top national ranks for several codes suggests an entrenched specialty center rather than a transient program.
From a payer administration and network perspective, the combination of concentrated Medicare revenue and negligible Medicaid revenue means contracting, utilization management, and rate-setting strategies should prioritize Medicare-centric proton therapy delivery patterns (notably codes 77525, 77523, 77522 and associated planning/localization codes). Medicaid exposure is minimal and entirely concentrated in G6002, so any state-level negotiations or program monitoring would focus on a narrow set of services with low overall financial impact.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77523 | This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is… | 1,630 | $760 | $1.2M |
| 77525 | This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is complex,… | 1,550 | $790 | $1.2M |
| 77522 | This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is simple,… | 1,440 | $640 | $918.9K |
| 55874 | Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes… | 120 | $2,410 | $277.1K |
| 77301 | Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy… | 220 | $1,190 | $266.8K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 4,560 | $50 | $205.2K |
| 77336 | This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the… | 930 | $70 | $68K |
| 77373 | This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small… | 80 | $850 | $67.7K |
| 77300 | Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning… | 690 | $30 | $19.3K |
| 77334 | The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues. | 290 | $60 | $15.9K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 77523 | 1 | 10 | 1,630 | $760 | $1.2M |
| 77525 | 1 | 10 | 1,550 | $790 | $1.2M |
| 77522 | 1 | 10 | 1,440 | $640 | $918.2K |
| 55874 | 2 | 20 | 20 | $1,840 | $62.4K |
| 77373 | 3 | 10 | 40 | $790 | $52.5K |
| 77280 | 103 | 140 | 40 | $180 | $26.7K |
| 77014 | 141 | 160 | 440 | $50 | $24.3K |
| 77301 | 1 | 150 | 40 | $560 | $23.1K |
| 77336 | 2 | 40 | 170 | $70 | $16.7K |
| G6002 | 1 | 120 | 180 | $30 | $8.8K |
Showing 1–10 of 18
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 500 | $20 | $11K |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 5 | 30 | 80 | $20 | $5K |
Other providers in the same ZIP code as Illinois Proton Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cipher Global LLC | IL | Clinical Medical Laboratory | $45.1M | $95.2K |
| Phonak, LLC | IL | Durable Medical Equipment & Medical Supplies | $0 | $5.1M |
| Cadence Ambulatory Surgery Center, LLC | IL | Ambulatory Surgical Clinic/Center | $705.8K | $0 |
| William Sterba | IL | Orthopaedic Surgery Physician | $413.4K | $1000 |
| Aaron Bare | IL | Orthopaedic Surgery Physician | $277.5K | $78.4K |
| Nasiruddin Mohammed | IL | Radiation Oncology Physician | $260.5K | $380 |
| Debdut Biswas | IL | Orthopaedic Hand Surgery Physician | $104.4K | $152.9K |
| Tiffany Kadow | IL | Surgery of the Hand (Surgery) Physician | $99.6K | $101K |
| Kristine Torio | IL | Physician Assistant | $170.7K | $0 |
| Vinai Gondi | IL | Radiation Oncology Physician | $163.4K | $820 |
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.