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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Kiburz
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    Douglas Kiburz — Billing Profile & Reimbursement Data

    NPI 1487623260 · Sedalia, MO · Sports Medicine (Orthopaedic Surgery) Physician

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    Douglas Kiburz is a sports medicine (orthopaedic surgery) physician provider located in Sedalia, Missouri. This profile covers 29 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDouglas Kiburz
    Address2301 S Ingram Ave
    CitySedalia
    StateMO
    ZIP65301
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedMarch 15, 2006

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

    Payer SourceTotal Paid
    Medicare$263.9K
    Medicaid$0

    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…70$960$68.4K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg4,770$10$62K
    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…350$60$20.8K
    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…240$80$19K
    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…20$980$17.6K
    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…370$40$16.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg2,070$10$10.4K
    64624The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it…70$140$9.2K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…20$310$7.3K
    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…70$110$7.1K

    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
    274474825030$1,140$50.2K
    J33043401,710$10$33K
    271309416020$1,050$31.6K
    64721457030$400$15.6K
    992142,2398,960100$80$13.9K
    6462411030$300$7.9K
    992136828,73070$50$7K
    992048654,36030$100$4.8K
    206103783060$40$4.6K
    992222,2633,10030$100$4.3K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bothwell Regional Health CenterMOGeneral Acute Care Hospital$0$19.8M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Bothwell Regional Health CenterMOGeneral Practice Physician$0$4.9M
    Bassem ChaarILHematology & Oncology Physician$1.2M$120.5K
    Mindy VespermanMONurse Practitioner$375.1K$0
    Enock FaustinMODiagnostic Radiology Physician$357.4K$120
    Trung TranMOInterventional Cardiology Physician$312.6K$0
    Randy BalmforthMIDiagnostic Radiology Physician$98.2K$178.4K
    Matthew RoehrsMOFamily Medicine Physician$261.1K$0
    Mirian BociKSUrology Physician$234.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Therapy Center Of Pettis County, IncMODevelopmentally Disabled Services Day Training Agency$0$51.3M
    Children's Therapy Center Of Pettis County, IncMOCase Management Agency$0$33.7M
    Pettis County Board Of Services For The Developmentally DisabledMOCase Management Agency$0$13.7M
    Helping All People Pursue Independence (happi), Inc.MOCase Manager/Care Coordinator$0$10.6M
    Shawn CairerMODevelopmentally Disabled Services Day Training Agency$0$8.4M
    Pettis County Ambulance DistrictMOLand Ambulance$845.9K$5.7M
    Regional Health Care Clinic IncMOFederally Qualified Health Center (FQHC)$0$5.9M
    Children's Therapy Center Of Pettis County, IncMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$4.9M
    Springhealth Behavioral Health And Integrated Care Missouri, LLCMOCommunity/Behavioral Health Agency$0$4M
    Riverside Pediatrics, IncMOPrimary Care Clinic/Center$0$4M

    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. Missouri Distribution
    Douglas Kiburz — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri