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.

Springfield Clinic LLP (NPI 1992752224)

Field	Value
Entity Type	Organization
Organization	Springfield Clinic LLP
Address	1025 S 6th St
City	Springfield
State	IL
ZIP	62703
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicare	$3.5M
Medicaid	$0

Key Findings

This entity reports $3.5M in lifetime Medicare revenue and has no Medicaid billing on file, so its financial footprint in public programs is effectively single-payer (Medicare) rather than mixed Medicare/Medicaid. The provider’s top three Medicare codes account for 37.5% of its total Medicare revenue, indicating meaningful revenue concentration within a few high-volume procedures.

Clinical mix and service-line orientation are consistent with a multi-specialty ambulatory surgical clinic that focuses heavily on gastrointestinal endoscopy and ophthalmology: high-volume codes include 45385 (colonoscopy with polypectomy), 45380 (colonoscopy with biopsy), and 43239 (EGD with biopsy), alongside cataract extraction with intraocular lens insertion under 66984. These code-level patterns suggest the center supports both diagnostic and therapeutic procedural workflows typical of an ASC performing same-day endoscopy and ophthalmic surgery.

Revenue concentration is concentrated in a small set of procedures: 45385 contributes $408.9K (13.9%), 66984 contributes $390.1K (13.3%), and 45380 contributes $303.6K (10.3%) of Medicare revenue — together the precomputed top 3 represent 37.5% of total Medicare revenue. This degree of concentration implies the provider’s financial performance is sensitive to volume changes in a few procedure lines, especially colonoscopy and cataract services.

Competitive standing varies by procedure: the provider ranks as an extreme national outlier on several GI and endoscopy measures (e.g., 45385 ranks #61 of 16310 nationally, 45380 ranks #36 of 16427, and 43239 ranks #31 of 17140, each labeled as 100th percentile/"extreme outlier"). By contrast, cataract surgery under 66984 is a more typical volume position (ranks #2969 of 15965, 81th percentile), showing national dominance in GI endoscopy but more conventional presence in ophthalmology.

Beyond GI and cataract work, the provider reports notable revenues in other surgical and pain-management areas, signaling a broad procedural mix. For example, 27447 (knee arthroplasty) accounts for $294.6K (10.0%) and ranks #3954 of 12089 (66th percentile), while spine and joint injection codes such as 64635 ($102.9K; ranks #209 of 5957, 96th percentile) and G0260 ($73.5K; ranks #14 of 967, 99th percentile) indicate a substantial pain-management/injection practice component.

Several non-GI procedures show statistically notable national standing: 64721 (carpal tunnel neuroplasty) is described as an "extreme outlier" (148 claims, $86K, ranks #42 of 3206, 99th percentile), and G0105 (high‑risk colorectal screening) also appears as an extreme outlier (326 claims, $126.8K, ranks #57 of 8773, 99th percentile). These patterns point to unusually high national procedure volumes in a subset of specialty services beyond general endoscopy.

For payer and network strategy, the provider’s profile suggests it could be an important referral and capacity partner for Medicare-aged procedural populations, particularly for colonoscopy and diagnostic endoscopy given the top national ranks and high shares of Medicare revenue. However, the absence of Medicaid billing on file indicates limited direct value for Medicaid network expansion and suggests the provider’s case mix and payer contracts are focused on Medicare patients.

The provider has an established operational tenure, with NPI enumerated on 2006-05-30 (~20 years ago), supporting a picture of a long-running ambulatory surgical operation. Coupled with $3.5M in lifetime Medicare revenue and no Medicaid activity, this tenure plus revenue profile indicates a stable, Medicare-centered specialty surgery practice rather than a mixed Medicaid/Medicare safety-net provider.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

70 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	980	$420	$408.9K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	490	$800	$390.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	890	$340	$303.6K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	40	$6,700	$294.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,060	$210	$226.4K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	330	$390	$126.8K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	200	$550	$106.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	190	$560	$102.9K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	150	$580	$86K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	380	$200	$73.5K

Showing 1–10 of 70

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 70 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Springfield Clinic LLP — 13 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. state median

70 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	263	570	360	$70	$97.8K
27447	186	480	40	$980	$46.8K
25609	5	20	10	$2,060	$30.9K
66982	36	190	30	$590	$27.1K
14301	12	30	20	$740	$23.7K
67904	1	20	40	$590	$23.6K
45385	2	640	60	$270	$23.4K
29827	21	110	20	$1,030	$22.6K
23430	8	20	20	$1,320	$22.5K
67042	5	50	20	$870	$21.8K

Showing 1–10 of 70

Related Providers

Other providers that share a Tax Identification Number (TIN) with Springfield Clinic LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unity Healthcare	IA	General Acute Care Hospital	$0	$12.7M
Springfield Clinic, LLP	IL	Clinical Medical Laboratory	$3.5M	$7.4M
Springfield Clinic, LLP	IL	Rural Health Clinic/Center	$0	$9.4M
Aleksandr Kagan	IL	Ophthalmology Physician	$2.8M	$1.5M
Robert Lowenthal	IL	Ophthalmology Physician	$3.2M	$62.6K
Lanny Odin	IL	Ophthalmology Physician	$2.5M	$406.4K
Macoupin Family Practice Center, LLP	IL	Family Medicine Physician	$0	$2.9M
Ramanath Bhandari	IL	Ophthalmology Physician	$2.5M	$144.9K
Timothy Gillison	IL	Hematology & Oncology Physician	$1.7M	$54.1K
Scott Mink	IL	Hematology & Oncology Physician	$1.6M	$60.3K

Nearby Providers

Other providers in the same ZIP code as Springfield Clinic LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Counties Health Centers, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$32.5M
America Ambulance Service, Inc.	IL	Ambulance	$1M	$7.5M
Gateway Foundation, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.4M
Sangamon Area Special Education Dist	IL	Local Education Agency (LEA)	$0	$2.9M
Joseph Baima	IL	Diagnostic Radiology Physician	$217.4K	$708.3K
Edward Harter	IL	Diagnostic Radiology Physician	$242.8K	$666.8K
Robert Knudson	IL	Diagnostic Radiology Physician	$701.8K	$80.8K
Justin Brooks	IL	Diagnostic Radiology Physician	$99.1K	$666.3K
Bridget Kistner	IL	Nuclear Radiology Physician	$652.9K	$24.9K
Marc Stees	IL	MOHS-Micrographic Surgery Physician	$316K	$58.6K

Springfield Clinic LLP — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References