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NPI 1336428010 · Crystal Lake, IL · Adult Reconstructive Orthopaedic Surgery Physician
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Brian Flanagan is a adult reconstructive orthopaedic surgery physician provider located in Crystal Lake, Illinois. This profile covers 19 Medicare and 7 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Brian Flanagan |
| Address | 420 N Il Route 31 |
| City | Crystal Lake |
| State | IL |
| ZIP | 60012 |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| NPI Enumerated | August 11, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $425.4K |
| Medicaid | $90.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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… | 120 | $1,020 | $122.9K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 70 | $1,040 | $73.5K |
| 99213 | The 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… | 860 | $60 | $53.9K |
| 20610 | In 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… | 680 | $60 | $38.1K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 600 | $30 | $18.7K |
| 99214 | The 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… | 200 | $90 | $17.1K |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 30 | $550 | $16.4K |
| 0055T | The provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic… | 130 | $130 | $16K |
| 99203 | The 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… | 200 | $80 | $15K |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 150 | $90 | $13.7K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 22 | 480 | 40 | $980 | $46.8K |
| 27130 | 35 | 340 | 30 | $960 | $33.7K |
| J7327 | 35 | 60 | 30 | $550 | $25.9K |
| 99214 | 6,093 | 18,540 | 110 | $80 | $17.1K |
| J7325 | 36 | 60 | 1,700 | $10 | $16.4K |
| J7324 | 15 | 60 | 90 | $100 | $13.9K |
| 0055T | 5 | 20 | 40 | $140 | $10K |
| 99213 | 291 | 17,390 | 70 | $60 | $8.8K |
| 20610 | 37 | 1,550 | 60 | $50 | $7.6K |
| 99204 | 806 | 8,580 | 30 | $110 | $5.6K |
Showing 1–10 of 19
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 1,210 | $30 | $38.8K |
| 20610 | In 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… | 650 | $40 | $27.9K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 550 | $20 | $11K |
| 99203 | The 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… | 140 | $40 | $5.3K |
| 99214 | The 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… | 70 | $50 | $3.6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 180 | $20 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 40 | $20 | $560 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 11,175 | 14,680 | 300 | $50 | $48.7K |
| 99213 | The 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… | 3,241 | 14,190 | 280 | $20 | $38.9K |
| 20610 | In 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… | 59 | 320 | 120 | $40 | $14.7K |
| 99203 | The 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… | 1,205 | 3,270 | 80 | $40 | $11.1K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 65 | 440 | 80 | $10 | $3.3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 57 | 90 | 90 | $10 | $1.8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 92 | 280 | 80 | $10 | $1.7K |
Other providers in the same ZIP code as Brian Flanagan, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $6.6M |
| Rosecrance Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $5.1M |
| Farhan Bangash | IL | Nephrology Physician | $715K | $178.2K |
| Venkata Buddharaju | IL | Nephrology Physician | $466.3K | $158.5K |
| Lindsay Esch | IL | Internal Medicine Physician | $230K | $7.4K |
| Barbara Burrell | IL | Internal Medicine Physician | $174.8K | $620 |
| Timothy Havenhill | IL | Orthopaedic Hand Surgery Physician | $84.6K | $67.3K |
| Livia Bir | IL | Clinical Neuropsychologist | $62K | $0 |
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