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    OpenPayerNPI Medicare & MedicaidBrent Johnson
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    Brent Johnson — Billing Profile & Reimbursement Data

    NPI 1003817792 · Peoria, IL · Sports Medicine (Orthopaedic Surgery) Physician

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    Brent Johnson is a sports medicine (orthopaedic surgery) physician provider located in Peoria, Illinois. This profile covers 17 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrent Johnson
    Address6000 N Allen Road
    CityPeoria
    StateIL
    ZIP61614
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedAugust 3, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$154.3K
    Medicaid$12.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…50$1,130$56.5K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$840$17.7K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…760$20$15.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…190$60$11.3K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…130$70$9.4K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$390$7.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.270$30$6.8K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…70$80$5.6K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…310$20$4.9K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…40$100$4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    298273411020$1,030$22.6K
    234721313020$860$21.4K
    9921415,88518,540110$80$17.1K
    2982883010$970$16.5K
    971101,3254,100480$20$12.9K
    2061112839080$80$12.2K
    992133,87617,39070$60$8.8K
    971401,1853,120230$20$5.4K
    7322114639030$90$4K
    992031,2406,15030$70$3.8K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…390$20$9.3K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.80$20$1.4K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…30$30$780
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…20$40$600
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$20$490
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10$10$100

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…6,26814,190280$20$38.9K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…5860100$20$12.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…2,4273,27080$40$11.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…2,5713,33090$10$7.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.25455060$10$3K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg26328080$10$1.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Brent Johnson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas MulveyILAdult Reconstructive Orthopaedic Surgery Physician$270.9K$0
    Luke LuetkemeyerILAdult Reconstructive Orthopaedic Surgery Physician$258.4K$1.2K
    Donald MitzelfeltILOrthopaedic Surgery Physician$211.2K$32.3K
    Michael GibbonsILSports Medicine (Orthopaedic Surgery) Physician$232K$8.9K
    Chukwunenye OsujiILOrthopaedic Trauma Physician$231K$0
    Daniel MulconreyILOrthopaedic Surgery of the Spine Physician$178.6K$890
    Brad RobertsILSports Medicine (Family Medicine) Physician$141.5K$35.6K
    Michael MerkleyILOrthopaedic Surgery Physician$168.5K$2.2K
    Patrick O'learyILOrthopaedic Surgery of the Spine Physician$156.6K$3.6K
    James WilliamsILOrthopaedic Hand Surgery Physician$119K$13K

    Nearby Providers

    Other providers in the same ZIP code as Brent Johnson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Osf Healthcare SystemILDurable Medical Equipment & Medical Supplies$0$16.7M
    Advantage Nursing Services, IncILNursing Care Agency$0$10.7M
    Charlotte JakkulaILDentist$0$3.9M
    Yoosuk KoILDentist$0$3.7M
    Joseph BannoILUrology Physician$891.5K$15.7K
    Chittaranjan ReddyILOphthalmology Physician$696.6K$79K
    Timir BamanILClinical Cardiac Electrophysiology Physician$513.2K$201.2K
    Lisa SnyderILPhysical Medicine & Rehabilitation Physician$269.9K$441.1K
    Amit MehrotraILClinical Cardiac Electrophysiology Physician$387.9K$175.7K
    Joshua KentoshILDermatology Physician$440.3K$63.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Brent Johnson — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Brent Johnson — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois