Active NPI 1184693327
Individual Practitioner
Male Practitioner
Dr. Richard M Baley , MD
Internal Medicine • Elgin, IL
Professional Overview & Biography Verified Profile Summary
Dr. Richard Baley, MD is a registered healthcare professional specializing in Internal Medicine in Elgin, IL. Practice services are available at 745 FLETCHER DR under active NPI credentials.
Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
Practice Address
745 Fletcher Dr
Suite 101
Elgin, IL 60123
Telephone
8477423525
Fax
8477423585
Associated Practice Facility / Clinic
🏢
Urology, Ltd.
Facility NPI 1730109505
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Elgin, IL
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
64
Specialists
Practicing in Elgin, IL (7544 Statewide)
Telehealth Adoption Rate
26.6%
Regional Adoption
In-Person Office Visits Only
Medicare Pricing Discount
59.6%
Avg Savings
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
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 |
|---|---|---|---|---|
|
J0897
Injection, denosumab, 1 mg
|
1,080 | 18 | $27.00 | $24.80 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
273 | 244 | $229.00 | $129.83 |
|
36415
Insertion of needle into vein for collection of blood sample
|
200 | 188 | $20.00 | $8.61 |
|
80053
Blood test, comprehensive group of blood chemicals
|
172 | 172 | $55.00 | $10.35 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
149 | 148 | $40.00 | $7.61 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
132 | 132 | $69.00 | $12.94 |
|
83036
Hemoglobin A1C level
|
102 | 102 | $50.00 | $9.52 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
98 | 96 | $86.00 | $16.46 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
81 | 81 | $229.00 | $131.65 |
|
82306
Vitamin d-3 level
|
69 | 69 | $152.00 | $28.25 |
|
84439
Thyroxine (thyroid chemical), free
|
36 | 34 | $46.00 | $8.40 |
|
84481
Thyroid hormone, t3 measurement, free
|
29 | 28 | $58.00 | $15.97 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
24 | 24 | $27.00 | $5.08 |
|
82043
Urine microalbumin (protein) level
|
24 | 24 | $30.00 | $5.66 |
|
84153
Psa (prostate specific antigen) measurement, total
|
22 | 21 | $94.00 | $18.02 |
|
99496
Transitional care management services for problem of high complexity
|
13 | 13 | $496.00 | $283.76 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
13 | 13 | $62.00 | $14.54 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
12 | 12 | $77.00 | $14.78 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J0897
Injection, denosumab, 1 mg
|
3,060 | 27 | $27.00 | $23.24 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
917 | 450 | $229.00 | $132.44 |
|
36415
Insertion of needle into vein for collection of blood sample
|
907 | 453 | $20.00 | $8.40 |
|
80053
Blood test, comprehensive group of blood chemicals
|
789 | 444 | $55.00 | $10.35 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
707 | 441 | $40.00 | $7.61 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
598 | 393 | $69.00 | $13.12 |
|
83036
Hemoglobin A1C level
|
532 | 294 | $50.00 | $9.52 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
412 | 370 | $86.00 | $16.46 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
398 | 398 | $229.00 | $133.37 |
|
82306
Vitamin d-3 level
|
384 | 248 | $152.00 | $29.01 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
221 | 215 | $157.00 | $94.05 |
|
85610
Blood test, clotting time
|
178 | 15 | $20.00 | $4.20 |
|
84439
Thyroxine (thyroid chemical), free
|
128 | 99 | $46.00 | $8.84 |
|
G0008
Administration of influenza virus vaccine
|
108 | 107 | $55.00 | $32.05 |
|
90694
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
|
105 | 104 | $103.00 | $75.76 |
|
84481
Thyroid hormone, t3 measurement, free
|
101 | 81 | $58.00 | $16.60 |
|
82043
Urine microalbumin (protein) level
|
86 | 83 | $30.00 | $5.66 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
86 | 83 | $27.00 | $5.08 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
61 | 53 | $352.00 | $211.59 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
60 | 24 | $55.00 | $26.54 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
53 | 44 | $77.00 | $14.78 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
48 | 43 | $179.00 | $94.07 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
45 | 26 | $62.00 | $14.71 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
44 | 44 | $52.00 | $18.92 |
|
99496
Transitional care management services for problem of high complexity
|
39 | 37 | $496.00 | $286.72 |
|
84153
Psa (prostate specific antigen) measurement, total
|
36 | 35 | $94.00 | $18.02 |
|
84550
Uric acid level, blood
|
35 | 30 | $23.00 | $4.43 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
34 | 32 | $72.00 | $15.08 |
|
81003
Automated urinalysis test
|
26 | 23 | $12.00 | $2.20 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
26 | 23 | $43.00 | $24.21 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
24 | 20 | $44.00 | $8.29 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
23 | 23 | $179.00 | $57.07 |
|
83735
Magnesium level
|
20 | 18 | $34.00 | $6.57 |
|
82728
Ferritin (blood protein) level
|
19 | 15 | $70.00 | $13.36 |
|
83550
Iron binding capacity
|
18 | 14 | $45.00 | $8.57 |
|
83540
Iron level
|
18 | 14 | $33.00 | $6.34 |
|
G0009
Administration of pneumococcal vaccine
|
12 | 12 | $55.00 | $32.05 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
12 | 12 | $851.00 | $282.89 |
|
86038
Screening test for autoimmune disorder
|
11 | 11 | $62.00 | $11.85 |
|
82746
Folic acid level
|
11 | 11 | $77.00 | $14.41 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J0897
Injection, denosumab, 1 mg
|
3,600 | 37 | $27.00 | $21.56 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,221 | 524 | $229.00 | $134.20 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,143 | 495 | $20.00 | $2.96 |
|
80053
Blood test, comprehensive group of blood chemicals
|
890 | 478 | $55.00 | $10.41 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
786 | 468 | $40.00 | $7.66 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
664 | 431 | $69.00 | $13.20 |
|
83036
Hemoglobin A1C level
|
632 | 326 | $50.00 | $9.58 |
|
82306
Vitamin d-3 level
|
482 | 286 | $152.00 | $29.22 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
476 | 424 | $86.00 | $16.58 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
424 | 424 | $229.00 | $136.89 |
|
85610
Blood test, clotting time
|
215 | 20 | $20.00 | $4.23 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
177 | 65 | $55.00 | $27.79 |
|
84439
Thyroxine (thyroid chemical), free
|
161 | 134 | $46.00 | $8.91 |
|
84481
Thyroid hormone, t3 measurement, free
|
126 | 105 | $58.00 | $16.73 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
115 | 98 | $27.00 | $5.12 |
|
82043
Urine microalbumin (protein) level
|
115 | 98 | $30.00 | $5.71 |
|
G0008
Administration of influenza virus vaccine
|
112 | 112 | $55.00 | $31.07 |
|
90694
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
|
105 | 105 | $103.00 | $70.25 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
91 | 91 | $52.00 | $19.05 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
73 | 61 | $77.00 | $14.89 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
60 | 37 | $62.00 | $15.11 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
53 | 45 | $43.00 | $24.19 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
51 | 47 | $179.00 | $58.09 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
51 | 51 | $72.00 | $15.04 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
47 | 47 | $390.00 | $39.43 |
|
84550
Uric acid level, blood
|
44 | 32 | $23.00 | $4.46 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
38 | 34 | $352.00 | $217.33 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
37 | 30 | $44.00 | $8.34 |
|
81003
Automated urinalysis test
|
37 | 30 | $12.00 | $2.22 |
|
99496
Transitional care management services for problem of high complexity
|
31 | 25 | $496.00 | $292.52 |
|
84132
Blood potassium level
|
29 | 24 | $25.00 | $4.70 |
|
83735
Magnesium level
|
27 | 19 | $34.00 | $6.62 |
|
82746
Folic acid level
|
27 | 23 | $77.00 | $14.48 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
26 | 25 | $157.00 | $96.15 |
|
84153
Psa (prostate specific antigen) measurement, total
|
26 | 24 | $94.00 | $18.16 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
20 | 16 | $179.00 | $95.29 |
|
G0009
Administration of pneumococcal vaccine
|
20 | 20 | $55.00 | $31.15 |
|
83540
Iron level
|
19 | 16 | $33.00 | $6.40 |
|
82728
Ferritin (blood protein) level
|
19 | 16 | $70.00 | $13.48 |
|
83550
Iron binding capacity
|
19 | 16 | $45.00 | $8.64 |
|
82977
Glutamyltransferase (liver enzyme) level
|
17 | 15 | $37.00 | $6.80 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
16 | 16 | $359.00 | $177.40 |
|
U0005
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
|
15 | 15 | $75.00 | $24.80 |
|
U0003
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
|
15 | 15 | $300.00 | $74.40 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J0897
Injection, denosumab, 1 mg
|
3,840 | 39 | $27.00 | $20.51 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,260 | 558 | $229.00 | $139.04 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,076 | 516 | $20.00 | $3.00 |
|
80053
Blood test, comprehensive group of blood chemicals
|
909 | 499 | $55.00 | $10.55 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
768 | 481 | $40.00 | $7.77 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
678 | 453 | $69.00 | $13.34 |
|
83036
Hemoglobin A1C level
|
636 | 331 | $50.00 | $9.70 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
536 | 444 | $86.00 | $16.77 |
|
82306
Vitamin d-3 level
|
477 | 301 | $152.00 | $29.50 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
442 | 442 | $229.00 | $142.62 |
|
85610
Blood test, clotting time
|
244 | 18 | $20.00 | $4.29 |
|
84439
Thyroxine (thyroid chemical), free
|
201 | 157 | $46.00 | $8.98 |
|
G0008
Administration of influenza virus vaccine
|
195 | 195 | $55.00 | $17.98 |
|
90662
Influenza vaccine split virus, preservative free
|
194 | 194 | $106.00 | $65.26 |
|
84481
Thyroid hormone, t3 measurement, free
|
168 | 133 | $58.00 | $16.85 |
|
82043
Urine microalbumin (protein) level
|
129 | 102 | $30.00 | $5.78 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
129 | 102 | $27.00 | $5.18 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
96 | 96 | $52.00 | $19.31 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
91 | 75 | $77.00 | $15.08 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
60 | 58 | $390.00 | $41.76 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
60 | 37 | $62.00 | $15.19 |
|
82746
Folic acid level
|
58 | 51 | $77.00 | $14.70 |
|
84550
Uric acid level, blood
|
52 | 40 | $23.00 | $4.52 |
|
82274
Stool analysis for blood, by fecal hemoglobin determination by immunoassay
|
40 | 40 | $82.00 | $15.92 |
|
81003
Automated urinalysis test
|
39 | 36 | $12.00 | $2.25 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
39 | 36 | $352.00 | $221.05 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
36 | 36 | $72.00 | $16.12 |
|
83735
Magnesium level
|
30 | 22 | $34.00 | $6.70 |
|
82728
Ferritin (blood protein) level
|
29 | 25 | $70.00 | $13.63 |
|
83550
Iron binding capacity
|
29 | 25 | $45.00 | $8.74 |
|
84153
Psa (prostate specific antigen) measurement, total
|
29 | 25 | $94.00 | $18.39 |
|
83540
Iron level
|
29 | 25 | $33.00 | $6.47 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
27 | 23 | $75.56 | $49.25 |
|
G0009
Administration of pneumococcal vaccine
|
27 | 27 | $55.00 | $17.95 |
|
86038
Screening test for autoimmune disorder
|
26 | 25 | $62.00 | $12.09 |
|
99496
Transitional care management services for problem of high complexity
|
25 | 21 | $496.00 | $299.30 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
25 | 23 | $43.00 | $23.72 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
19 | 19 | $359.00 | $180.40 |
|
85045
Red blood count, automated test
|
16 | 15 | $21.00 | $3.99 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
16 | 16 | $352.00 | $180.04 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
15 | 14 | $157.00 | $98.41 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
15 | 14 | $91.00 | $92.13 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
15 | 15 | $361.00 | $124.72 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
15 | 14 | $44.00 | $8.46 |
|
90670
Pneumococcal vaccine for injection into muscle
|
12 | 12 | $254.00 | $241.38 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
11 | 11 | $340.00 | $180.42 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J0897
Injection, denosumab, 1 mg
|
3,240 | 35 | $27.00 | $19.68 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,094 | 533 | $229.00 | $115.46 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,048 | 509 | $20.00 | $2.98 |
|
80053
Blood test, comprehensive group of blood chemicals
|
860 | 487 | $55.00 | $10.50 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
763 | 482 | $40.00 | $7.72 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
668 | 454 | $69.00 | $13.30 |
|
83036
Hemoglobin A1C level
|
601 | 330 | $50.00 | $9.65 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
481 | 422 | $86.00 | $16.71 |
|
82306
Vitamin d-3 level
|
415 | 270 | $152.00 | $29.38 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
371 | 371 | $229.00 | $122.21 |
|
85610
Blood test, clotting time
|
286 | 20 | $20.00 | $4.25 |
|
G0008
Administration of influenza virus vaccine
|
196 | 190 | $55.00 | $17.74 |
|
90662
Influenza vaccine split virus, preservative free
|
191 | 185 | $106.00 | $60.76 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
177 | 162 | $77.00 | $14.95 |
|
84439
Thyroxine (thyroid chemical), free
|
165 | 136 | $46.00 | $8.97 |
|
82746
Folic acid level
|
144 | 142 | $77.00 | $14.56 |
|
84481
Thyroid hormone, t3 measurement, free
|
129 | 110 | $58.00 | $16.85 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
125 | 100 | $27.00 | $5.15 |
|
82043
Urine microalbumin (protein) level
|
125 | 100 | $30.00 | $5.74 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
103 | 103 | $52.00 | $19.17 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
94 | 92 | $390.00 | $42.23 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
69 | 65 | $90.48 | $47.05 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
55 | 35 | $62.00 | $15.10 |
|
G0009
Administration of pneumococcal vaccine
|
45 | 45 | $55.00 | $17.63 |
|
84550
Uric acid level, blood
|
43 | 38 | $23.00 | $4.49 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
41 | 37 | $43.00 | $24.61 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
34 | 33 | $72.00 | $18.26 |
|
83735
Magnesium level
|
33 | 27 | $34.00 | $6.66 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
32 | 32 | $352.00 | $179.65 |
|
81003
Automated urinalysis test
|
31 | 25 | $12.00 | $2.23 |
|
82274
Stool analysis for blood, by fecal hemoglobin determination by immunoassay
|
30 | 30 | $82.00 | $15.90 |
|
90670
Pneumococcal vaccine for injection into muscle
|
30 | 30 | $254.00 | $222.06 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
27 | 23 | $44.00 | $8.40 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
26 | 26 | $352.00 | $195.37 |
|
84153
Psa (prostate specific antigen) measurement, total
|
21 | 21 | $94.00 | $18.32 |
|
82728
Ferritin (blood protein) level
|
20 | 16 | $70.00 | $13.58 |
|
83540
Iron level
|
19 | 16 | $33.00 | $6.44 |
|
99496
Transitional care management services for problem of high complexity
|
19 | 17 | $496.00 | $258.11 |
|
83550
Iron binding capacity
|
19 | 16 | $45.00 | $8.70 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
15 | 15 | $329.40 | $118.85 |
|
86038
Screening test for autoimmune disorder
|
14 | 14 | $62.00 | $12.02 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
14 | 14 | $340.00 | $174.58 |
|
G0403
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
|
12 | 12 | $39.00 | $18.33 |
|
86769
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
|
12 | 12 | $126.00 | $42.13 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
11 | 11 | $157.00 | $79.36 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
11 | 11 | $359.00 | $175.21 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J0897
Injection, denosumab, 1 mg
|
3,600 | 45 | $27.00 | $18.66 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,290 | 561 | $21.80 | $2.94 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,289 | 596 | $225.80 | $114.68 |
|
80053
Blood test, comprehensive group of blood chemicals
|
871 | 522 | $55.00 | $11.51 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
755 | 507 | $40.00 | $8.46 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
682 | 474 | $69.00 | $14.58 |
|
83036
Hemoglobin A1C level
|
564 | 333 | $50.00 | $10.57 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
486 | 421 | $86.00 | $18.30 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
453 | 414 | $77.00 | $16.41 |
|
82746
Folic acid level
|
442 | 402 | $77.00 | $16.01 |
|
82306
Vitamin d-3 level
|
357 | 227 | $152.00 | $32.23 |
|
85610
Blood test, clotting time
|
318 | 32 | $23.96 | $4.28 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
277 | 277 | $232.91 | $122.83 |
|
84439
Thyroxine (thyroid chemical), free
|
222 | 197 | $46.00 | $9.82 |
|
G0008
Administration of influenza virus vaccine
|
196 | 196 | $55.00 | $17.39 |
|
90662
Influenza vaccine split virus, preservative free
|
189 | 189 | $106.00 | $54.89 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
128 | 116 | $27.00 | $5.63 |
|
82043
Urine microalbumin (protein) level
|
127 | 115 | $30.00 | $6.29 |
|
84481
Thyroid hormone, t3 measurement, free
|
112 | 95 | $58.00 | $18.44 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
66 | 66 | $52.00 | $20.03 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
63 | 60 | $381.33 | $42.55 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
62 | 43 | $57.21 | $17.46 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
57 | 57 | $84.93 | $18.20 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
46 | 34 | $44.00 | $9.21 |
|
84550
Uric acid level, blood
|
45 | 38 | $23.00 | $4.92 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
35 | 30 | $322.86 | $173.14 |
|
84153
Psa (prostate specific antigen) measurement, total
|
35 | 32 | $94.00 | $20.03 |
|
83735
Magnesium level
|
34 | 29 | $34.00 | $7.29 |
|
81003
Automated urinalysis test
|
33 | 30 | $14.61 | $2.44 |
|
83540
Iron level
|
28 | 26 | $33.00 | $7.05 |
|
83550
Iron binding capacity
|
28 | 26 | $45.00 | $9.52 |
|
82728
Ferritin (blood protein) level
|
28 | 26 | $70.00 | $14.85 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
25 | 25 | $354.80 | $181.14 |
|
G0009
Administration of pneumococcal vaccine
|
19 | 19 | $52.37 | $17.39 |
|
86038
Screening test for autoimmune disorder
|
19 | 19 | $62.00 | $13.16 |
|
85045
Red blood count, automated test
|
17 | 17 | $21.00 | $4.35 |
|
90670
Pneumococcal vaccine for injection into muscle
|
17 | 17 | $247.88 | $208.08 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
17 | 15 | $14.00 | $2.94 |
|
G0513
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve
|
16 | 16 | $85.00 | $68.63 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
15 | 15 | $343.00 | $175.32 |
|
G0403
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
|
11 | 11 | $48.09 | $18.21 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $224.36 | $106.73 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
36415
Insertion of needle into vein for collection of blood sample
|
1,548 | 618 | $33.00 | $2.93 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,277 | 633 | $198.00 | $112.87 |
|
80053
Blood test, comprehensive group of blood chemicals
|
846 | 539 | $134.00 | $12.73 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
827 | 547 | $107.00 | $9.37 |
|
J0897
Injection, denosumab, 1 mg
|
780 | 13 | $25.67 | $18.25 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
685 | 514 | $125.00 | $16.09 |
|
85610
Blood test, clotting time
|
565 | 36 | $41.00 | $4.75 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
553 | 461 | $134.00 | $20.33 |
|
83036
Hemoglobin A1C level
|
550 | 335 | $81.00 | $11.67 |
|
84439
Thyroxine (thyroid chemical), free
|
548 | 459 | $136.00 | $10.82 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
468 | 421 | $123.00 | $18.04 |
|
82746
Folic acid level
|
453 | 404 | $102.00 | $17.57 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
331 | 331 | $248.00 | $122.46 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
329 | 260 | $95.00 | $3.82 |
|
82306
Vitamin d-3 level
|
286 | 228 | $250.00 | $35.23 |
|
81003
Automated urinalysis test
|
251 | 223 | $55.00 | $2.67 |
|
G0008
Administration of influenza virus vaccine
|
214 | 209 | $45.00 | $21.46 |
|
90662
Influenza vaccine split virus, preservative free
|
209 | 204 | $65.00 | $52.02 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
150 | 115 | $54.00 | $6.18 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
148 | 86 | $94.00 | $10.23 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
131 | 131 | $364.00 | $43.97 |
|
82043
Urine microalbumin (protein) level
|
120 | 106 | $107.00 | $6.89 |
|
93979
Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan
|
113 | 113 | $150.00 | $102.62 |
|
83735
Magnesium level
|
71 | 57 | $86.00 | $8.10 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
68 | 68 | $124.00 | $22.26 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
64 | 53 | $250.00 | $172.15 |
|
84550
Uric acid level, blood
|
58 | 40 | $83.00 | $5.47 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
58 | 22 | $48.00 | $22.71 |
|
84153
Psa (prostate specific antigen) measurement, total
|
54 | 43 | $129.00 | $22.26 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
51 | 50 | $139.00 | $17.75 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
50 | 50 | $366.00 | $180.13 |
|
84156
Total protein level, urine
|
44 | 23 | $54.00 | $4.44 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
41 | 41 | $1010.00 | $144.34 |
|
82728
Ferritin (blood protein) level
|
41 | 36 | $106.00 | $16.49 |
|
85651
Red blood cell sedimentation rate, to detect inflammation, non-automated
|
29 | 23 | $83.00 | $4.29 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
26 | 26 | $196.00 | $112.97 |
|
G0009
Administration of pneumococcal vaccine
|
25 | 25 | $45.00 | $21.45 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
22 | 16 | $35.00 | $21.51 |
|
82040
Albumin (protein) level
|
20 | 13 | $48.00 | $5.99 |
|
90670
Pneumococcal vaccine for injection into muscle
|
20 | 20 | $228.00 | $199.18 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
19 | 19 | $300.00 | $171.50 |
|
84132
Blood potassium level
|
15 | 13 | $43.00 | $5.57 |
|
94375
Diagnostic testing in a pulmonary function lab
|
14 | 14 | $93.00 | $42.07 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
36415
Insertion of needle into vein for collection of blood sample
|
1,447 | 601 | $33.00 | $2.93 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,096 | 543 | $198.00 | $112.57 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,081 | 583 | $134.00 | $13.17 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
974 | 566 | $107.00 | $10.43 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
809 | 538 | $125.00 | $12.09 |
|
83036
Hemoglobin A1C level
|
648 | 354 | $81.00 | $13.01 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
617 | 487 | $134.00 | $22.59 |
|
84439
Thyroxine (thyroid chemical), free
|
612 | 485 | $136.00 | $12.06 |
|
85610
Blood test, clotting time
|
517 | 39 | $41.00 | $5.28 |
|
82746
Folic acid level
|
488 | 413 | $102.00 | $19.65 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
481 | 413 | $123.00 | $20.15 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
434 | 337 | $95.00 | $4.23 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
387 | 387 | $248.00 | $121.30 |
|
82306
Vitamin d-3 level
|
275 | 214 | $250.00 | $39.55 |
|
81003
Automated urinalysis test
|
260 | 213 | $55.00 | $3.01 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
216 | 147 | $54.00 | $6.90 |
|
G0008
Administration of influenza virus vaccine
|
211 | 208 | $45.00 | $26.65 |
|
82043
Urine microalbumin (protein) level
|
186 | 137 | $107.00 | $7.70 |
|
90662
Influenza vaccine split virus, preservative free
|
176 | 176 | $64.55 | $47.96 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
155 | 87 | $94.00 | $10.19 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
116 | 116 | $150.00 | $81.35 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
111 | 111 | $364.00 | $42.91 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
106 | 106 | $124.00 | $24.50 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
87 | 28 | $48.00 | $21.19 |
|
82728
Ferritin (blood protein) level
|
73 | 53 | $106.00 | $18.13 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
61 | 53 | $248.36 | $171.07 |
|
84550
Uric acid level, blood
|
60 | 48 | $83.00 | $5.77 |
|
83735
Magnesium level
|
56 | 41 | $86.00 | $9.01 |
|
84156
Total protein level, urine
|
54 | 25 | $54.00 | $4.93 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
53 | 53 | $1010.00 | $173.37 |
|
84153
Psa (prostate specific antigen) measurement, total
|
50 | 37 | $129.00 | $24.24 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
44 | 44 | $366.00 | $178.71 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
43 | 43 | $139.00 | $18.07 |
|
G0009
Administration of pneumococcal vaccine
|
38 | 38 | $45.00 | $26.65 |
|
82040
Albumin (protein) level
|
37 | 19 | $48.00 | $3.62 |
|
76706
Ultrasound scan of abdominal aorta
|
33 | 33 | $150.00 | $81.25 |
|
85651
Red blood cell sedimentation rate, to detect inflammation, non-automated
|
26 | 20 | $83.00 | $4.77 |
|
90670
Pneumococcal vaccine for injection into muscle
|
26 | 26 | $228.00 | $187.04 |
|
90686
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
24 | 24 | $45.00 | $18.65 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
21 | 21 | $300.00 | $171.55 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
20 | 20 | $355.00 | $164.84 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
18 | 18 | $196.00 | $114.73 |
|
G0403
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
|
18 | 18 | $139.00 | $18.09 |
|
84132
Blood potassium level
|
17 | 17 | $43.00 | $6.18 |
|
94375
Diagnostic testing in a pulmonary function lab
|
14 | 13 | $93.00 | $41.73 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
12 | 12 | $267.50 | $141.03 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
12 | 12 | $120.00 | $94.69 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
11 | 11 | $84.00 | $21.38 |
Medical Specialties & State Licenses
CMS Verified: 2023-08-03
Internal Medicine
Primary Specialty
NUCC Taxonomy Code: 207R00000X
State License
IL 036073678
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicaid State Provider ID
3673678 (IL)
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dr. Ilma Vahora
, MD
NPI 1073194031
Internal Medicine
Doctor of Medicine (M.D.)
Dr. Mariya Rampurwala
, MD
NPI 1215197785
Internal Medicine
Doctor of Medicine (M.D.)
Dr. Dennis Flynn
, MD
NPI 1295704435
Internal Medicine
Doctor of Medicine (M.D.)
Dr. Alan Wurzelbacher
, MD
NPI 1457573347
Internal Medicine
Doctor of Medicine (M.D.)
Dr. John Fiedler
, MD
NPI 1487623716
Internal Medicine
Doctor of Medicine (M.D.)
Dr. Kyung Koo
, MD
NPI 1689643389
Internal Medicine
Doctor of Medicine (M.D.)
Jessica Tomasiewicz
, NP
NPI 1841516614
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
📍
Updated Business Mailing Address
August 03, 2023
Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304699200)
📍
Updated Business Mailing Address
January 08, 2019
Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606740018 (Tel: 6304699200)
📍
Updated Practice Location
August 02, 2018
Registered at 745 FLETCHER DR, SUITE 101, ELGIN, IL 60123 (Tel: 8477423525)
📍
Updated Business Mailing Address
August 02, 2018
Registered at 1860 PAYSPHERE CIR STE 140, CHICAGO, IL 606740018 (Tel: 6304699200)
✅
NPI Profile Active
January 13, 2011
NPI status registered as active in NPPES database
📍
Updated Practice Location
January 13, 2011
Registered at 745 FLETCHER DR, SUITE 101, ELGIN, IL 601234747 (Tel: 8477423525)
📍
Updated Business Mailing Address
January 13, 2011
Registered at 745 FLETCHER DR, SUITE 101, ELGIN, IL 601234747 (Tel: 8477423525)
👤
Provider Name / Credentials Updated
January 13, 2011
Recorded as RICHARD BALEY, M.D.
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty)
January 13, 2011
Internal Medicine (License #036073678 in IL)
🟢
Initial NPI Registration & Enumeration
March 17, 2006
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
NPI Number:
1184693327
Entity Type:
Individual Provider
Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date:
March 17, 2006
Last Update:
August 03, 2023
Sole Proprietor:
No
Mailing Address
Po Box 713260
Chicago, IL 606771260
Phone: 6304699200
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.