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NPI 1437142858 · Glen Ellyn, IL · Sports Medicine Podiatrist
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Daniel O Carroll is a sports medicine podiatrist provider located in Glen Ellyn, Illinois. This profile covers 13 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 | Daniel O Carroll |
| Address | 22w654 Butterfield Rd |
| City | Glen Ellyn |
| State | IL |
| ZIP | 60137 |
| Taxonomy | Sports Medicine Podiatrist |
| NPI Enumerated | August 31, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $69.5K |
| Medicare | $65.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 28225 | The provider surgically removes adhesions affecting a single extensor tendon in the foot. The procedure allows for movement and reduces pain caused by tendonitis. | 60 | $330 | $18.3K |
| 27680 | The provider performs release of a single flexor or extensor tendon in the leg and or ankle. The tendon may be tight and unable to move freely due to scarring or adhesions. He performs the procedure… | 50 | $330 | $17.5K |
| 28220 | The provider surgically removes adhesions affecting a single flexor tendon in the foot. The procedure allows for movement and reduces pain caused by the tendonitis. | 20 | $380 | $6.8K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 140 | $50 | $6.5K |
| 15004 | The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,… | 20 | $330 | $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… | 60 | $70 | $3.9K |
| 11900 | This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other… | 60 | $40 | $2.4K |
| 29515 | The provider applies a short leg splint to treat injuries of the leg, including fractures, dislocations, and sprains of the lower leg, ankle, and foot. The splint covers and immobilizes the lower leg… | 30 | $60 | $1.9K |
| 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… | 20 | $90 | $1.8K |
| 20551 | The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon. | 10 | $50 | $560 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 28225 | 1 | 10 | 60 | $330 | $18.3K |
| 27680 | 1 | 10 | 50 | $330 | $17.5K |
| 15004 | 16 | 20 | 20 | $280 | $9.1K |
| 99213 | 9,982 | 17,390 | 70 | $60 | $8.8K |
| 28220 | 1 | 10 | 20 | $370 | $6.7K |
| 99203 | 4,220 | 6,150 | 30 | $70 | $3.8K |
| 76942 | 20 | 510 | 30 | $40 | $1.4K |
| 20551 | 46 | 50 | 20 | $40 | $1.4K |
| 29515 | 3 | 10 | 20 | $50 | $1.4K |
| 11900 | 18 | 190 | 20 | $40 | $1.1K |
Showing 1–10 of 13
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… | 1,950 | $30 | $48.8K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 230 | $50 | $10.4K |
| 29515 | The provider applies a short leg splint to treat injuries of the leg, including fractures, dislocations, and sprains of the lower leg, ankle, and foot. The splint covers and immobilizes the lower leg… | 310 | $30 | $8.8K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 60 | $30 | $1.6K |
| 73600 | In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle. | 20 | $10 | $230 |
| 76881 | In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is… | 50 | $1 | $160 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 40 | $0 | $0 |
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 |
|---|---|---|---|---|---|---|
| 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… | 2,108 | 14,190 | 280 | $20 | $38.9K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 6 | 30 | 70 | $40 | $12.1K |
| 29515 | The provider applies a short leg splint to treat injuries of the leg, including fractures, dislocations, and sprains of the lower leg, ankle, and foot. The splint covers and immobilizes the lower leg… | 1 | 10 | 280 | $40 | $7.9K |
| 76881 | In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is… | 7 | 10 | 90 | $20 | $5.2K |
| 73600 | In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle. | 15 | 20 | 50 | $10 | $3.5K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 12 | 20 | 50 | $20 | $3.2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 101 | 140 | 90 | $1 | $480 |
Other providers in the same ZIP code as Daniel O Carroll, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Michelle Pipitone | IL | MOHS-Micrographic Surgery Physician | $632.6K | $0 |
| Amany Aziz | IL | Diagnostic Radiology Physician | $514.5K | $1K |
| Magda Gabriel | IL | Family Medicine Physician | $153.9K | $283.2K |
| Kyle Kallenbach | IL | Diagnostic Radiology Physician | $332.7K | $0 |
| Ala Albazzaz | IL | Geriatric Medicine (Internal Medicine) Physician | $322.4K | $0 |
| Mohamad Bazerbashi | IL | Diagnostic Radiology Physician | $280.3K | $2.4K |
| John Baird | IL | Internal Medicine Physician | $182.1K | $42.5K |
| Patricia O'donnell | IL | Podiatrist | $127.2K | $43.1K |
| Hafsa Amjed | IL | Endocrinology, Diabetes & Metabolism Physician | $146K | $18.6K |
| Brian Smart | IL | Pediatric Allergy/Immunology Physician | $150.6K | $1.9K |
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