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.

Cook County (NPI 1982724894)

Key Findings

Field	Value
Entity Type	Organization
Organization	Cook County
Address	500 E. 51st Street
City	Chicago
State	IL
ZIP	60615
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

COOK COUNTY has no Medicare billing on file and reports $20.6M in lifetime Medicaid revenue, making its public reimbursement footprint effectively single‑payer (Medicaid) in the available data. This concentration means analyses of its financial profile and operational behavior should be interpreted through a Medicaid lens rather than a mixed Medicare/Medicaid comparison.

Revenue is extremely concentrated: the platform’s precomputation shows the top three Medicaid codes account for 99.9% of this provider’s Medicaid revenue, and a single code, T1015, accounts for $20.5M (99.6% of Medicaid revenue). That heavy reliance on T1015 indicates the organization’s revenue is driven almost entirely by an all‑inclusive clinic visit/encounter payment stream rather than a diverse procedure mix.

The code mix is consistent with a high‑volume ambulatory clinic or multi‑specialty center that bills encounter-based clinic visits: T1015 is dominant and a range of E&M codes (99214, 99213, 99215) appear frequently in the claims list. Despite high claim counts for some E&M codes, their dollar contribution is small relative to T1015 — for example, 99214 shows 14.2K claims for $28.4K revenue and 99213 shows 17.9K claims for $17.9K revenue — indicating Medicaid fee levels for those codes are low compared with the T1015 aggregate payment.

Several E&M codes are statistical outliers by volume within Illinois: 99214 ranks #89 of 14,681 providers in‑state (99th percentile; extreme outlier), 99213 ranks #194 of 14,191 (99th percentile; notably above typical), and 99215 ranks #9 of 2,321 (100th percentile; extreme outlier). These percentile ranks suggest COOK COUNTY is an unusually large volume reporter of office/outpatient E&M visits compared with peers, even though those codes contribute only a tiny share of its Medicaid dollars.

Immunizations and preventive visit codes are present at above‑typical volumes for certain vaccines: 90674 (cell‑based influenza vaccine) is 1.1K claims and ranks #8 of 171 providers in‑state (96th percentile; notably above typical), and 90732 (pneumococcal polysaccharide) ranks #13 of 46 (73rd percentile). While these services show elevated utilization relative to peers, they represent minimal revenue compared with T1015 and do not materially diversify the provider’s Medicaid revenue base.

Competitive standing is mixed: on the primary revenue driver T1015 the provider ranks #107 of 846 in‑state (87th percentile; characterized in the source as typical, unremarkable volume), indicating a solid but not dominant statewide position for clinic‑encounter billing. At the same time, extremely high state percentiles on several E&M codes indicate COOK COUNTY is a major volume reporter for visit‑level services even though those services yield little Medicaid revenue for this provider.

COOK COUNTY’s NPI was enumerated 2007-04-02 (~19 years ago), indicating an established operation. Coupled with a narrow revenue base (top three Medicaid codes = 99.9% of Medicaid revenue) and a dominant reliance on T1015, the provider appears to operate a long‑standing, high‑volume clinic model whose financial performance is highly sensitive to Medicaid encounter/clinic reimbursement policies and coding practices.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	62,920	$330	$20.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	14,180	$1	$28.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	17,900	$1	$17.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,860	$1	$7.7K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	1,070	$1	$3.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,680	$1	$2.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,210	$1	$2.4K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	210	$10	$2.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,020	$1	$2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	290	$10	$1.8K

Showing 1–10 of 32

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

Cook County — 6 of 19 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	107	850	7,490	$120	$3.9M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	174	760	140	$110	$67.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	89	14,680	300	$50	$48.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,088	1,380	370	$40	$46.2K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	595	1,110	310	$50	$45.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	683	1,270	370	$40	$40.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	194	14,190	280	$20	$38.9K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	750	1,200	750	$20	$35.4K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	322	480	70	$90	$24.5K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	203	250	510	$20	$20.1K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Rabida Children's Hospital	IL	Case Management Agency	$0	$6.2M
A Beautiful Mind, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5M
Vera Ray	IL	Anatomic Pathology & Clinical Pathology Physician	$1.1K	$4.4M
Human Resources Development Institute Inc,	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4M
Human Resources Development Institute, Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.8M
Sandy Gibson	IL	Family Medicine Physician	$57K	$211.9K
Barbara Bellar	IL	Family Medicine Physician	$115.8K	$0
Charles Mitchell	IL	Foot & Ankle Surgery Podiatrist	$80.7K	$7.8K
Gammariello Rx Inc	IL	Community/Retail Pharmacy	$27.8K	$0
Gina Sims	IL	Foot & Ankle Surgery Podiatrist	$25.3K	$0

Cook County — Billing Profile & Reimbursement Data

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Cook County — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cook County	IL	Multi-Specialty Clinic/Center	$0	$85.9M
Cook County	IL	Multi-Specialty Clinic/Center	$0	$14.6M
Sally Campbell-lee	IL	Clinical Pathology Physician	$0	$8.7M
Cook County	IL	Multi-Specialty Clinic/Center	$0	$8.6M
Cook County	IL	Primary Care Clinic/Center	$0	$6.3M
Cook County	IL	Primary Care Clinic/Center	$0	$5.9M
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Cook County	IL	Primary Care Clinic/Center	$0	$5.6M
Cook County	IL	Primary Care Clinic/Center	$0	$5.4M
Jose Garcia Gonzalez	PR	Retina Specialist (Ophthalmology) Physician	$1.9M	$3.4M