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    OpenPayerNPI Medicare & MedicaidIan Brimhall
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    Ian Brimhall — Billing Profile & Reimbursement Data

    NPI 1467652875 · Lakeside, AZ · Orthopaedic Surgery Physician

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    Ian Brimhall is a orthopaedic surgery physician provider located in Lakeside, Arizona. This profile covers 29 Medicare and 10 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
    OrganizationIan Brimhall
    Address4830 Highway 260
    CityLakeside
    StateAZ
    ZIP85929
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 23, 2007

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

    Payer SourceTotal Paid
    Medicare$210.5K
    Medicaid$109K

    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.

    29 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…50$1,020$45.8K
    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…40$1,080$42.1K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$800$18.4K
    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…300$60$18.1K
    29876The provider examines the inside of the knee joint with an arthroscope to inspect and repair the membrane between the bony surfaces and the joint capsule. She inserts instruments and excises synovial…30$500$14K
    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…200$50$9.8K
    99203The 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…110$80$9.1K
    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…90$90$8.5K
    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…50$130$5.9K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$330$5.2K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274471129040$1,290$59.3K
    27130621030$1,270$45.7K
    29827410020$1,020$25.4K
    9921458110,410120$80$20.6K
    2982813020$1,010$17.1K
    2988012010$800$16.9K
    2982211030$410$11.2K
    992231192,77050$130$11K
    992131099,60080$60$9.6K
    2982424020$320$9.4K

    Showing 1–10 of 29

    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.

    10 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…870$50$45.3K
    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…530$50$27.5K
    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$80$10.9K
    99203The 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…130$80$9.6K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…50$110$5.7K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg440$10$4.8K
    73562In 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.110$30$3.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$30$930
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.30$20$770
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.20$30$480

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,2433,040750$50$343.9K
    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…1,2202,780600$50$267K
    99203The 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…5171,030130$70$134.1K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…80110230$80$94.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…699850230$40$72.5K
    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…37110190$50$62.4K
    73562In 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.107160370$20$28.3K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.118130280$20$26.7K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.135170390$20$25.2K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg59210130$1$3.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tanana Valley Clinic LLCAKMulti-Specialty Clinic/Center$0$15.2M
    Medical Network Of Alaska, LLCAKSpecialist$0$4.3M
    Medical Network Of Alaska, LLCAKUrgent Care Clinic/Center$0$811.6K
    Medical Network Of Alaska, LLCAKObstetrics & Gynecology Physician$0$543.2K
    Bryan HaughomAKOrthopaedic Surgery Physician$525.6K$0
    Blake GallerAKDermatology Physician$448K$0
    Carson WebbAKInterventional Cardiology Physician$387.8K$0
    Hugh HallAZFoot & Ankle Surgery Podiatrist$364.5K$21.7K
    Douglas PrevostAKOrthopaedic Surgery Physician$367.6K$0
    Anchorage Fracture And Orthopaedic Clinic, PCAKOrthopaedic Surgery Physician$0$354.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Timber Mesa Fire And Medical DistrictAZLand Ambulance$695K$9.4M
    Sunrise Ambulatory Surgical Center LLCAZAmbulatory Surgical Clinic/Center$1.1M$75.1K
    Jeffrey ReaganAZSports Medicine (Orthopaedic Surgery) Physician$213K$34.5K
    Mihaela MarinAZInternal Medicine Physician$240.9K$0
    Yuri TalalaevAZInternal Medicine Physician$199.5K$0
    Matthew WaiteAZFamily Medicine Physician$195.6K$0
    Jeffrey LesueurAZOtolaryngology Physician$54.9K$113.4K
    Derek FlakeAZPhysical Therapist$101.4K$0
    Steven StruthersAZPhysician Assistant$98.6K$0
    Carol StewartAZPrimary Care Nurse Practitioner$72.9K$710

    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. Arizona Distribution
    Ian Brimhall — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Ian Brimhall — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona