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    OpenPayerNPI Medicare & MedicaidBrian Weatherford
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    Brian Weatherford — Billing Profile & Reimbursement Data

    NPI 1609022003 · Glenview, IL · Orthopaedic Surgery Physician

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    Brian Weatherford is a orthopaedic surgery physician provider located in Glenview, Illinois. This profile covers 31 Medicare and 1 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
    OrganizationBrian Weatherford
    Address2401 Ravine Way
    CityGlenview
    StateIL
    ZIP60025
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 18, 2008

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

    Payer SourceTotal Paid
    Medicare$167.9K
    Medicaid$890

    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.

    31 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…450$70$31.3K
    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$1,080$21.7K
    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…180$100$17.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.520$30$15.4K
    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.430$30$13.3K
    27702The provider reconstructs the total ankle joint with an implant to treat severe pain, which arthritis or a fracture causes.20$790$11.8K
    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$130$9.1K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…90$90$8.4K
    73700In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity.120$70$7.8K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…90$50$4.9K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,70818,540110$80$17.1K
    27245228010$930$16.7K
    770025833030$80$12.9K
    992153,9756,24040$120$10.1K
    8005373181090$10$9.4K
    992131,13917,39070$60$8.8K
    2770211020$450$6.7K
    8502575185090$10$6.6K
    992041,8128,58030$110$5.6K
    992225,3345,73030$100$5.3K

    Showing 1–10 of 31

    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.

    1 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…30$30$880

    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

    1 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…12,41214,190280$20$38.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alejandra Rodriguez-paezILRheumatology Physician$2.5M$90
    Ami KothariILRheumatology Physician$2.5M$180
    Chinyoung ParkILRheumatology Physician$1.8M$350
    Alfonso BelloILRheumatology Physician$1.4M$310
    Teresa SosenkoILRheumatology Physician$863.6K$0
    Brooke VanderbyILAnesthesiology Physician$727.2K$0
    Sergey KacharILOrthopaedic Surgery Physician$660.5K$9.2K
    Juan Santiago-palmaILPain Medicine (Physical Medicine & Rehabilitation) Physician$592.4K$17.2K
    Phillip LudkowskiILOrthopaedic Surgery Physician$571.7K$0
    Angela CrowleyILRheumatology Physician$543.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Village Of GlenviewILLand Ambulance$1M$3.5M
    Ravine Way Surgery Center, LLCILAmbulatory Surgical Clinic/Center$949.1K$0
    Svetlana TsipurskyILOphthalmology Physician$243K$625.9K
    Valley Lo Imaging Co.ILDiagnostic Ultrasound Physician$148.4K$327.4K
    Michael O'rourkeILOrthopaedic Surgery Physician$459.7K$0
    Yuriy BukhaloILPain Medicine (Anesthesiology) Physician$435.7K$1.2K
    Gary ShapiroILOrthopaedic Surgery Physician$360.4K$0
    Van StamosILOrthopaedic Surgery Physician$353.5K$0
    Walgreen CoILPharmacy$349K$0
    Craig PhillipsILOrthopaedic Hand Surgery Physician$268.8K$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
    Brian Weatherford — 4 of 25 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Brian Weatherford — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois