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

    NPI 1568410025 · Lewiston, ID · Sports Medicine (Orthopaedic Surgery) Physician

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    John Jelinek is a sports medicine (orthopaedic surgery) physician provider located in Lewiston, Idaho. This profile covers 53 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
    OrganizationJohn Jelinek
    Address320 Warner Dr
    CityLewiston
    StateID
    ZIP83501
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$236.3K
    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.

    53 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…60$890$54.4K
    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…30$940$31K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…20$1,060$22.2K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…20$870$13K
    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…10$790$11K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.90$100$8.3K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…80$100$7.4K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.90$80$7.4K
    0054TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using fluoroscopy. A provider uses this service…90$80$7K
    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…80$80$6.6K

    Showing 1–10 of 53

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 53 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    53 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274472011030$640$25.1K
    27130298030$510$16.5K
    23472245020$620$14.9K
    29827203020$610$11.6K
    992141,3692,69090$70$10.4K
    2988031010$600$10.2K
    23430152020$460$10.1K
    2724531010$650$9.8K
    J732516201,100$10$9K
    72148256080$60$6.9K

    Showing 1–10 of 53

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catalyst Medical Group, PLLCIDMulti-Specialty Clinic/Center$0$11.4M
    St. Joseph Hospital LLCIDGeneral Acute Care Hospital$0$4.7M
    Robert FairbanksIDRadiation Oncology Physician$1.3M$0
    St Joseph Hospital LLCIDInternal Medicine Physician$0$1.1M
    Norman WillisIDRadiation Oncology Physician$573.4K$0
    Nileshkumar PatelILInterventional Cardiology Physician$415.3K$132.8K
    Edward AbrahamARRadiation Oncology Physician$474.1K$0
    Edward KimIDCardiovascular Disease Physician$299.4K$0
    Robert LeachTXNephrology Physician$277.7K$0
    John HoIDVascular & Interventional Radiology Physician$239.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alternative Nursing Services, Inc.IDAdult Day Care Clinic/Center$0$29.3M
    Opportunities Unlimited, Inc.IDSpecialist$0$9.1M
    County Of Nez Perce Independent School District No 1IDLocal Education Agency (LEA)$0$3.5M
    Community Health Association Of SpokaneIDFederally Qualified Health Center (FQHC)$0$3.2M
    City Of LewistonIDLand Ambulance$697.3K$1.9M
    Riverside Recovery LLCIDAddiction (Substance Use Disorder) Counselor$0$2.1M
    Addus Healthcare (idaho), IncIDIn Home Supportive Care Agency$0$2M
    Emeritus Properties Ii, Inc.IDAssisted Living Facility$0$1.9M
    Hospitalist Medicine Physicians Of Idaho- Nampa PLLCIDEmergency Medicine Physician$0$1.7M
    Pathologists Regional LaboratoryIDClinical Medical Laboratory$649.7K$1M

    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. Idaho Distribution
    John Jelinek — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho