ProPublica

Journalism in the Public Interest

Treatment Tracker

This Provider: At A Glance

We aren’t showing our typical comparisons because this provider had an address in a different state in 2014.

Number of
Patients
611
Services
Performed
4,093
Avg Services
Per Patient
6.7
Total Paid
by Medicare
$350K
Avg Paid
Per Patient
$573

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider in 2014.

Individuals

MICHAEL WILCZYNSKI

KENNETH BAILEY

MATTHEW KAMIN

KEVIN FRAME

JOSEPH JUDGE

Organizations

FRANCISCAN ST. JAMES HE...

ST. JAMES HOSPITAL UNIT...

Patients saw before

Raghuvansh Kumar M.D.

Patients saw after

Individuals

MICHAEL WILCZYNSKI

KEVIN FRAME

KENNETH BAILEY

GREGORY HENKLE

JOSEPH JUDGE

Organizations

FRANCISCAN ST. JAMES HE...

ST. JAMES HOSPITAL UNIT...

This Provider's Services

This provider performed 14 different services in 2014
All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
1,502
times performed,
37% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

286
patients got this service, 47% of his patients
5.3
average number of visits a patient made for this service
$450,600an average of $300 per time performed $131,034
an average of $87 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
1,348
times performed,
33% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

323
patients got this service, 53% of his patients
4.2
average number of visits a patient made for this service
$337,256an average of $250 per time performed $81,770
an average of $61 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
589
times performed,
14% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

533
patients got this service, 87% of his patients
1.1
average number of visits a patient made for this service
$235,500an average of $400 per time performed $69,343
an average of $118 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
185
times performed,
5% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

169
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
$83,250an average of $450 per time performed $31,957
an average of $173 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
179
times performed,
4% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

167
patients got this service, 27% of his patients
1.1
average number of visits a patient made for this service
$60,099an average of $336 per time performed $16,099
an average of $90 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
90
times performed,
2% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

60
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
$10,800an average of $120 per time performed $5,295
an average of $59 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
82
times performed,
2% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

80
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
$12,675an average of $155 per time performed $7,320
an average of $89 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
55
times performed,
1% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

54
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$9,625an average of $175 per time performed $2,443
an average of $44 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
30
times performed,
0.73% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

16
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
$6,000an average of $200 per time performed $997
an average of $33 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
23
times performed,
0.56% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$4,945an average of $215 per time performed $3,099
an average of $135 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Raghuvansh Kumar
Average for Physical Medicine & Rehabilitation Providers in Illinois

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.