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    OpenPayerNPI Medicare & MedicaidJoseph Duncan
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    Joseph Duncan — Billing Profile & Reimbursement Data

    NPI 1093755753 · Muncie, IN · Orthopaedic Surgery of the Spine Physician

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    Joseph Duncan is a orthopaedic surgery of the spine physician provider located in Muncie, Indiana. 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 TypeIndividual
    OrganizationJoseph Duncan
    Address3600 W Bethel Ave
    CityMuncie
    StateIN
    ZIP47304
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedJune 8, 2006

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

    Payer SourceTotal Paid
    Medicare$53.1K
    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
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…260$90$22.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…90$110$10K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$600$6.6K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.100$40$3.6K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.30$90$2.5K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.60$40$2.2K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg370$10$1.8K
    72052In this diagnostic procedure, the provider performs six or more X–ray views of the cervical spine. The goal of this study is to examine the patient's spine for such conditions as abnormal curves,…30$40$1.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…30$50$1.3K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…40$30$1000

    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
    992142,72810,540110$80$15.5K
    6304710010020$460$11.5K
    7214821730040$70$5.5K
    992045414,69030$100$4.9K
    206107311,00050$40$4.6K
    A957531306,720$1$1.2K
    J070238220130$1$1.1K
    721102629030$20$1K
    2055257030$30$990
    7210027157040$20$860

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Indiana Orthopedics LLCINOrthopaedic Surgery Physician$0$5.4M
    Central Indiana Orthopedic Surgery Center, LLCINAmbulatory Surgical Clinic/Center$414.4K$44K
    Jeffrey YerglerINOrthopaedic Surgery Physician$405K$0
    Jonathan EashINAnesthesiology Physician$305.8K$0
    Adam CienINOrthopaedic Surgery Physician$253.1K$0
    Brent DamerINOrthopaedic Surgery Physician$246.4K$0
    Michael BerendINOrthopaedic Surgery Physician$212.6K$0
    Joshua CarterINOrthopaedic Surgery Physician$204.2K$0
    Brian BadmanINOrthopaedic Surgery Physician$197.1K$0
    Ryan CieplyINOrthopaedic Surgery Physician$182.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Meridian ServicesINCommunity/Behavioral Health Agency$0$245.7M
    Dentistry For Children Of Indiana, LLCINDentist$0$15.9M
    Meridian Health Services CorpINMental Health Clinic/Center (Including Community Mental Health Center)$0$14.5M
    Meridian Health Services CorpINFederally Qualified Health Center (FQHC)$0$11.1M
    Behavior Associates Of Indiana LLCINBehavior Analyst$0$10.8M
    Muncie Treatment Center, LLCINMethadone Clinic$158.8K$9.3M
    Meridian Health Services Corp.INFederally Qualified Health Center (FQHC)$0$5.4M
    Medical Group Of Indiana LLC D/b/a Rheumatology Of Central IndianaINRheumatology Physician$0$4.5M
    Oral Surgery Of Indiana, LLCINOral and Maxillofacial Surgery (Dentist)$0$4.5M
    Meridian Health Services CorpINFederally Qualified Health Center (FQHC)$0$3.5M

    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. Indiana Distribution
    Joseph Duncan — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana