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NPI 1407835457 · Springfield, IL · Orthopaedic Surgery Physician
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Rodney Herrin is a orthopaedic surgery physician provider located in Springfield, Illinois. This profile covers 16 Medicare and 1 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 | Rodney Herrin |
| Address | 1301 S Koke Mill Rd |
| City | Springfield |
| State | IL |
| ZIP | 62711 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | January 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $95.5K |
| Medicaid | $390 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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… | 30 | $1,020 | $30.5K |
| 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… | 310 | $60 | $18.7K |
| 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… | 190 | $50 | $9.9K |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 90 | $100 | $8.8K |
| 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 | $90 | $6.5K |
| 20611 | In 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… | 60 | $80 | $4.7K |
| 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… | 50 | $70 | $3.9K |
| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 90 | $30 | $2.9K |
| 99204 | The 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… | 20 | $110 | $2.7K |
| 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. | 60 | $30 | $1.8K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 272 | 480 | 40 | $980 | $46.8K |
| 99214 | 11,473 | 18,540 | 110 | $80 | $17.1K |
| J7324 | 26 | 60 | 90 | $100 | $13.9K |
| 20611 | 211 | 390 | 80 | $80 | $12.2K |
| 99213 | 2,112 | 17,390 | 70 | $60 | $8.8K |
| 20610 | 309 | 1,550 | 60 | $50 | $7.6K |
| 99204 | 5,231 | 8,580 | 30 | $110 | $5.6K |
| 99203 | 1,813 | 6,150 | 30 | $70 | $3.8K |
| 99212 | 3,541 | 3,950 | 30 | $40 | $2.4K |
| 73564 | 286 | 1,030 | 40 | $30 | $2.3K |
Showing 1–10 of 16
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.
1 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… | 20 | $30 | $390 |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 13,160 | 14,190 | 280 | $20 | $38.9K |
Other providers in the same ZIP code as Rodney Herrin, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Patrick Butler | IL | Ophthalmology Physician | $206.2K | $0 |
| Donald Henderson | IL | Optometrist | $157.6K | $0 |
| Fareed Tabatabai | IL | Psychiatry Physician | $45.2K | $26.1K |
| Lesley Blackford | IL | Speech-Language Pathologist | $55.8K | $0 |
| Julie Maley | IL | Nurse Practitioner | $43.6K | $0 |
| Michael Gainer | IL | Orthopaedic Hand Surgery Physician | $42.6K | $0 |
| Marty Wilson | IL | Surgical Physician Assistant | $33K | $0 |
| Neurotech, LLC | IL | Physiological Laboratory | $31.9K | $0 |
| Sally Vespa | IL | Physician Assistant | $27.4K | $0 |
| Scott Schleunes | IL | Foot & Ankle Surgery Podiatrist | $1.8K | $930 |
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