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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $314 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,107
Rank: 41st
out of 371 providers in this state & specialty
Services
Performed
9,509
Rank: 9th
out of 371 providers in this state & specialty
Avg Services
Per Patient
8.6 This Provider is in the top 10%
Avg 4.5
Total Paid
by Medicare
$1.32M
Rank: 1st
out of 371 providers in this state & specialty
Avg Paid
Per Patient
$1,196 This Provider is in the top 10%
Avg $314

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.

Nidal Sakka
Average for Pulmonary 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

VICTORIA MARSIK-CASTILLO

JEFFREY CHUNG

JOHN BOCHNIAK

DAVID ALBRITTON

MOHAMMED KHAN

Organizations

ST. ALEXIUS MEDICAL CENTER

ALEXIAN BROTHERS MEDICA...

Patients saw before

Nidal Sakka

Patients saw after

Individuals

GREGORY GULLO

MOHAMMED KHAN

DONALD KASH

BENNETT PARK

KERRY CONNEELY

Organizations

ST. ALEXIUS MEDICAL CENTER

SUPERIOR AIR-GROUND AMB...

This Provider's Services

This provider performed 17 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

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
4,727
times performed,
50% of his services

1st 3rd

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

627
patients got this service, 57% of his patients
7.5
average number of visits a patient made for this service
(Peers: 2.4)
$1,909,708an average of $404 per time performed $888,676
an average of $188 per time performed
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
1,349
times performed,
14% of his services

2nd 2nd

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

244
patients got this service, 22% of his patients
5.5
average number of visits a patient made for this service
(Peers: 2.5)
$295,431an average of $219 per time performed $116,014
an average of $86 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
772
times performed,
8% of his services

3rd 1st

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

179
patients got this service, 16% of his patients
4.3
average number of visits a patient made for this service
(Peers: 2.9)
$107,308an average of $139 per time performed $46,320
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
695
times performed,
7% of his services

4th 17th

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

312
patients got this service, 28% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.6)
$138,305an average of $199 per time performed $81,315
an average of $117 per time performed
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in an office
226
times performed,
2% of his services

5th 47th

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

181
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$20,566an average of $91 per time performed $7,910
an average of $35 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
226
times performed,
2% of his services

6th 16th

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

181
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$21,922an average of $97 per time performed $10,170
an average of $45 per time performed
MEDICINE

Measurement of airway resistance by impulse oscillometry +

Measurement of airway resistance by impulse oscillometry ×

Service Code: 94728
Performed in an office
225
times performed,
2% of his services

7th Alert

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

180
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
$21,375an average of $95 per time performed $7,875
an average of $35 per time performed
MEDICINE

Measurement of lung stretching capacity

Service Code: 94750
Performed in an office
168
times performed,
2% of his services

8th 61st

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

86
patients got this service, 8% of his patients
2
average number of visits a patient made for this service
(Peers: 1.1)
$23,520an average of $140 per time performed $11,088
an average of $66 per time performed
RESPIRATORY SYSTEM

Biopsy of lung airways using an endoscope

Service Code: 31625
Performed in a facility
145
times performed,
2% of his services

9th 111th

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

127
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$46,545an average of $321 per time performed $3,190
an average of $22 per time performed
RESPIRATORY SYSTEM

Biopsy of one lobe of lung using an endoscope

Service Code: 31628
Performed in a facility
143
times performed,
2% of his services

10th 92nd

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

125
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$38,610an average of $270 per time performed $21,450
an average of $150 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
110
times performed,
1% of his services

11th 4th

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

82
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$18,590an average of $169 per time performed $9,790
an average of $89 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
81
times performed,
0.85% of his services

12th 31st

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

81
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,976an average of $296 per time performed $13,689
an average of $169 per time performed
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in a facility
77
times performed,
0.81% of his services

13th 51st

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

77
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,007an average of $91 per time performed $770
an average of $10 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
77
times performed,
0.81% of his services

14th 8th

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

77
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,469an average of $97 per time performed $539
an average of $7 per time performed
MEDICINE

Measurement of airway resistance by impulse oscillometry +

Measurement of airway resistance by impulse oscillometry ×

Service Code: 94728
Performed in a facility
76
times performed,
0.8% of his services

15th Alert

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

76
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$7,220an average of $95 per time performed $760
an average of $10 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
67
times performed,
0.7% of his services

16th 74th

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

67
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$12,730an average of $190 per time performed $9,380
an average of $140 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
66
times performed,
0.69% of his services

17th 58th

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

34
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.7)
$10,560an average of $160 per time performed $4,884
an average of $74 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in an office
65
times performed,
0.68% of his services

18th 37th

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

65
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$115,700an average of $1,780 per time performed $38,935
an average of $599 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 a facility
59
times performed,
0.62% of his services

19th 56th

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

45
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$11,741an average of $199 per time performed $5,428
an average of $92 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in an office
58
times performed,
0.61% of his services

20th 43rd

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

57
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$99,006an average of $1,707 per time performed $32,480
an average of $560 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in a facility
32
times performed,
0.34% of his services

21st 30th

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

32
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,048an average of $439 per time performed $3,456
an average of $108 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in a facility
26
times performed,
0.27% of his services

22nd 116th

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

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,748an average of $298 per time performed $3,718
an average of $143 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in a facility
16
times performed,
0.17% of his services

23rd 33rd

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,008an average of $688 per time performed $1,648
an average of $103 per time performed
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 a facility
12
times performed,
0.13% of his services

24th 72nd

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,880an average of $240 per time performed $1,344
an average of $112 per time performed
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
11
times performed,
0.12% of his services

25th 22nd

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

11
patients got this service, 0.99% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,640an average of $240 per time performed $1,430
an average of $130 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 "Pulmonary 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.


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