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    OpenPayerNPI Medicare & MedicaidJohn Bottros
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    John Bottros — Billing Profile & Reimbursement Data

    NPI 1467635524 · Rockford, IL · Orthopaedic Surgery Physician

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    John Bottros is a orthopaedic surgery physician provider located in Rockford, Illinois. This profile covers 19 Medicare and 4 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Bottros
    Address5875 E Riverside Blvd
    CityRockford
    StateIL
    ZIP61114
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedDecember 12, 2007

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

    Payer SourceTotal Paid
    Medicare$376.5K
    Medicaid$5.8K

    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.

    19 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…150$1,000$153.8K
    27130In 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…50$1,000$48K
    99213The 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…780$60$47K
    J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg3,750$10$26.3K
    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…470$50$23K
    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…140$90$13K
    73564In 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.420$30$12.1K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.540$20$11.8K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…370$30$10K
    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$400$5.6K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447648040$980$46.8K
    271308234030$960$33.7K
    J732938902,840$10$31.9K
    992148,03418,540110$80$17.1K
    29881234020$830$16.6K
    J732548601,700$10$16.4K
    7700210233030$80$12.9K
    9921336317,39070$60$8.8K
    20610911,55060$50$7.6K
    7372116053030$90$4.7K

    Showing 1–10 of 19

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…280$10$3.9K
    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…40$40$1.5K
    73564In 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.10$20$270
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20$10$190

    Medicaid: Competitive Analysis & Benchmarks

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…7,11114,190280$20$38.9K
    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…230320120$40$14.7K
    73564In 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.31435060$10$3.9K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg22628080$10$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$62.7M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$38.9M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$16.4M
    Sara FlemingILAnatomic Pathology & Clinical Pathology Physician$24.6K$12.9M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$10.6M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$10.5M
    Saint Anthony Medical CenterILHome Health Agency$0$6.6M
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    Osf Healthcare SystemILHome Health Agency$0$3.4M
    Andrew JunILOtolaryngology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrzej JasekILRheumatology Physician$1.6M$4.9K
    Saad TariqILRheumatology Physician$1.2M$13.6K
    Michael BenantiILDiagnostic Radiology Physician$469.7K$460
    Mark OyerILOrthopaedic Surgery Physician$465.8K$910
    Joe O'sabenILPain Medicine Physician$394.5K$0
    Dawn MansfieldILPhysical Therapist$284.7K$0
    Rajesh KakarlaILVascular & Interventional Radiology Physician$160.3K$122.6K
    Keith McguireILDiagnostic Radiology Physician$266.6K$6.2K
    Manoj SreedharanILOccupational Medicine Physician$210K$61.1K
    Mark BarbaILOrthopaedic Surgery Physician$267.3K$0

    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. Illinois Distribution
    John Bottros — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    John Bottros — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois