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Treatment Tracker

Treatment Tracker » Illinois » Crestwood

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $293 per patient in 2012.
They performed about 11 services per patient. Here’s how this provider compares.
Number of
Patients
847
Rank: 35th
out of 247 providers in this state & specialty
Services
Performed
3,986
Rank: 19th
out of 247 providers in this state & specialty
Avg Services
Per Patient
4.7 This Provider
Avg 11.3
Total Paid
by Medicare
$380K
Rank: 11th
out of 247 providers in this state & specialty
Avg Paid
Per Patient
$448 This Provider
Avg $293

Office Visits

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Top Billing

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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.

Sampath P. Kumar
Average for Infectious Disease Providers in Illinois

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, from Jan. 2012 to June 2013.

Individuals

ALI ZAIDI

MASOOD QAZI

SCOTT GROSSBERG

JAMES WELCH

MARK NITEKMAN

Organizations

ADVOCATE HEALTH AND HOS...

SUPERIOR AIR-GROUND AMB...

Patients saw before

Sampath P. Kumar

Patients saw after

Individuals

JOSEPH KENT

CHONG KIM

MARK NITEKMAN

SCOTT GROSSBERG

RICHARD HELLER

Organizations

ADVOCATE HEALTH AND HOS...

SUPERIOR AIR-GROUND AMB...

This Provider's Services

This provider performed 9 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
2,217
times performed,
56% of his services

1st 4th

most performed service for this provider most performed service in this state & specialty

661
patients got this service, 78% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.6)
$443,400an average of $200 per time performed $190,662
an average of $86 per time performed
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
766
times performed,
19% of his services

2nd 5th

most performed service for this provider most performed service in this state & specialty

659
patients got this service, 78% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$367,680an average of $480 per time performed $128,688
an average of $168 per time performed
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
614
times performed,
15% of his services

3rd 2nd

most performed service for this provider most performed service in this state & specialty

317
patients got this service, 37% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.7)
$104,380an average of $170 per time performed $36,226
an average of $59 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
195
times performed,
5% of his services

4th 11th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
15
average number of visits a patient made for this service
(Peers: 9.3)
$43,875an average of $225 per time performed $11,700
an average of $60 per time performed
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
68
times performed,
2% of his services

5th 10th

most performed service for this provider most performed service in this state & specialty

52
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$16,660an average of $245 per time performed $5,576
an average of $82 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
45
times performed,
1% of his services

6th 21st

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$10,800an average of $240 per time performed $3,780
an average of $84 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
34
times performed,
0.85% of his services

7th 13th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.1)
$850an average of $25 per time performed $102
an average of $3 per time performed
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
33
times performed,
0.83% of his services

8th 9th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$5,412an average of $164 per time performed $1,980
an average of $60 per time performed
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
14
times performed,
0.35% of his services

9th 18th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$4,676an average of $334 per time performed $1,596
an average of $114 per time performed

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.

Notes: This provider has a self-reported specialty of "Infectious Disease." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.