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    OpenPayerNPI Medicare & MedicaidSouthern Illinois Orthopedic Center,llc
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    Southern Illinois Orthopedic Center,llc — Billing Profile & Reimbursement Data

    NPI 1023001377 · Herrin, IL · Ambulatory Surgical Clinic/Center

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    Southern Illinois Orthopedic Center,llc is a ambulatory surgical clinic/center provider located in Herrin, Illinois. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSouthern Illinois Orthopedic Center,llc
    Address510 Lincoln Dr
    CityHerrin
    StateIL
    ZIP62948
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 23, 2005

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

    Payer SourceTotal Paid
    Medicare$446.3K
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$6,530$261.1K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…100$580$59.1K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…90$430$38.2K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…40$370$15.2K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…20$980$14.8K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…10$1,020$14.3K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…10$1,010$14.2K
    C9290Injection, bupivacaine liposome, 1 mg10,910$1$10.9K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.20$570$9.2K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$530$8.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744721448040$980$46.8K
    64721914030$460$20.5K
    29880132020$880$17.5K
    29881234020$830$16.6K
    28285404030$540$16.1K
    2648081020$760$14.4K
    260551212030$320$13K
    2544793020$720$12.2K
    C92903105,320$1$11.9K
    6471853020$410$9.8K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Southern Illinois Orthopedic Center,llc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$9.2M
    Southern Illinois Hospital ServicesILGeneral Acute Care Hospital$0$5.4M
    Southern Orthopedic Associates ScILOrthopaedic Surgery Physician$0$3.2M
    Ted Van AckerILDermatology Physician$1.4M$320.7K
    Sushilkumar TibrewalaILGastroenterology Physician$131.6K$807K
    Mustafa HindiILEmergency Medicine Physician$107.8K$744.8K
    Mack MccainILGastroenterology Physician$92.3K$702.2K
    Derek KenneasterILDermatology Physician$229.5K$343.5K
    Terrence GlennonILPhysical Medicine & Rehabilitation Physician$149.4K$311.3K
    Gerri DyerILNurse Practitioner$175.1K$109.5K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Southern Illinois Orthopedic Center,llc — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois