Active NPI 1013471267 Individual Practitioner Female Practitioner

Rita Andreja Sinclair , PA-C

Physician Assistant • Downers Grove, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rita Sinclair, PA-C is a certified Physician Assistant practicing in Downers Grove, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Rita Sinclair delivers high-quality medical care to the local community at 3450 LACEY RD.

Rita Sinclair is affiliated with Midwestern University and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, injection, methylprednisolone acetate, 80 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3450 Lacey Rd

Downers Grove, IL 605155430

Telephone 6307437500

Associated Practice Facility / Clinic

🏢 Midwestern University Facility NPI 1538445317

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Downers Grove, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -0.3 yrs vs City Avg

City Avg: 8.3 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

46 Specialists

Practicing in Downers Grove, IL (4958 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

4.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinclair (8 Years) 8 Yrs

Downers Grove Specialty Average (8.3 Years) 8.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$120.00	$112.32
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$80.00	$78.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	39	29	$256.41	$61.72
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$130.56	$75.59
J1040 Injection, methylprednisolone acetate, 80 mg	19	16	$35.00	$12.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$198.00	$106.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	960	19	$44.53	$16.99
20610 Aspiration and/or injection of fluid from large joint	87	53	$229.89	$58.12
99213 Established patient office or other outpatient visit, typically 15 minutes	55	42	$135.00	$74.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	33	$198.00	$106.81
J1040 Injection, methylprednisolone acetate, 80 mg	24	22	$35.00	$10.99
27447 Replacement of knee joint, both sides of knee	13	12	$3262.00	$176.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	992	19	$44.53	$17.91
20610 Aspiration and/or injection of fluid from large joint	69	46	$231.88	$57.87
99213 Established patient office or other outpatient visit, typically 15 minutes	62	45	$135.00	$75.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	43	$198.00	$107.84
J1040 Injection, methylprednisolone acetate, 80 mg	21	17	$35.00	$10.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$81.00	$46.32
27447 Replacement of knee joint, both sides of knee	14	14	$3262.00	$176.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$202.00	$93.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$306.00	$140.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,085	22	$31.00	$18.46
20610 Aspiration and/or injection of fluid from large joint	105	61	$238.10	$57.62
99213 Established patient office or other outpatient visit, typically 15 minutes	96	76	$119.00	$62.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$176.00	$90.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$274.00	$138.09
J1040 Injection, methylprednisolone acetate, 80 mg	44	36	$35.00	$11.65
J7333 Hyaluronan or derivative, visco-3, for intra-articular injection, per dose	28	11	$832.50	$352.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$71.00	$37.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	53	37	$233.96	$54.14
J1040 Injection, methylprednisolone acetate, 80 mg	33	26	$35.00	$11.76
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	29	12	$156.75	$77.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$274.00	$131.17
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$119.00	$60.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$176.00	$89.30

Medical Specialties & State Licenses

CMS Verified: 2024-02-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085006965

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Midwestern University

3450 Lacey Rd, Downers Grove, IL 605155430

Phone: 6307434500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Aarlan Aceto , OD

Optometrist

NPI 1013064385

Doctor of Optometry

Dr. Behnam Darvishan , DMD

Dentist - General Practice

NPI 1013396845

Doctor of Dental Medicine

Dr. Kimberly Huntington-Alfano , DO

Family Medicine

NPI 1013932326

Doctor of Osteopathic Medicine (D.O.)

Kimberly Hoffer , MA, CCC-SLP

Speech-Language Pathologist

NPI 1053486258

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Jessica Conroy , OD

Optometrist

NPI 1053766550

Doctor of Optometry

Lauren Ferguson , CCC-SLP

Speech-Language Pathologist

NPI 1063865327

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

👤

Provider Name / Credentials Updated February 01, 2024

Recorded as RITA SINCLAIR, PA-C

📍

Updated Practice Location August 28, 2023

Registered at 3450 LACEY RD, DOWNERS GROVE, IL 605155430 (Tel: 6307437500)

📍

Updated Business Mailing Address August 28, 2023

Registered at 3450 LACEY RD, DOWNERS GROVE, IL 605155430 (Tel: 6307437500)

📍

Updated Business Mailing Address February 21, 2020

Registered at 400 RIVERSIDE DR STE 1600, BOURBONNAIS, IL 609145406 (Tel: 8158027090)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2019

Physician Assistant (License #085006965 in IL)

✅

NPI Profile Active January 22, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location January 22, 2019

Registered at 400 RIVERSIDE DR STE 1600, BOURBONNAIS, IL 609145406 (Tel: 8158027090)

📍

Updated Business Mailing Address January 22, 2019

Registered at 1213 LEINSTER DR, LEMONT, IL 604394457 (Tel: 6304058304)

👤

Provider Name / Credentials Updated January 22, 2019

Recorded as RITA KUSELIAUSKAS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2019

Physician Assistant (License #PENDING in IL)

🟢

Initial NPI Registration & Enumeration January 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013471267

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 22, 2019

Last Update: February 01, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3450 Lacey Rd

Downers Grove, IL 605155430

Phone: 6307437500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.