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NPI 1710914064 · Peoria, IL · Orthopaedic Surgery of the Spine Physician
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Daniel Mulconrey is a orthopaedic surgery of the spine physician provider located in Peoria, Illinois. This profile covers 27 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Daniel Mulconrey |
| Address | 6000 N Allen Rd |
| City | Peoria |
| State | IL |
| ZIP | 61614 |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| NPI Enumerated | June 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $178.6K |
| Medicaid | $890 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 22633 | In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this… | 20 | $1,370 | $31.6K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 30 | $700 | $21.8K |
| 22842 | The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal… | 30 | $600 | $18.6K |
| 99213 | The 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… | 250 | $60 | $15.6K |
| 22853 | The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides… | 60 | $210 | $13K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 70 | $90 | $6.4K |
| 63052 | At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression. | 30 | $210 | $6.3K |
| 22634 | In this add–on procedure, the provider joins two additional adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The… | 10 | $390 | $5.5K |
| 61783 | In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during… | 30 | $190 | $5.5K |
| 99214 | The 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… | 60 | $90 | $5.4K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 22633 | 20 | 80 | 20 | $1,080 | $21.6K |
| 99214 | 12,370 | 18,540 | 110 | $80 | $17.1K |
| 63047 | 21 | 140 | 20 | $610 | $14.6K |
| 97110 | 3,328 | 4,100 | 480 | $20 | $12.9K |
| 22842 | 10 | 100 | 20 | $490 | $9.3K |
| 99213 | 2,829 | 17,390 | 70 | $60 | $8.8K |
| 22634 | 15 | 20 | 20 | $340 | $6.5K |
| 72148 | 258 | 700 | 50 | $80 | $6.2K |
| 22853 | 19 | 130 | 30 | $160 | $6K |
| 99204 | 7,884 | 8,580 | 30 | $110 | $5.6K |
Showing 1–10 of 27
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99212 | The 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 | $20 | $450 |
| 99213 | The 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… | 10 | $40 | $440 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 13,880 | 14,190 | 280 | $20 | $38.9K |
| 99212 | The 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,… | 2,493 | 3,330 | 90 | $10 | $7.4K |
Other providers in the same ZIP code as Daniel Mulconrey, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Osf Healthcare System | IL | Durable Medical Equipment & Medical Supplies | $0 | $16.7M |
| Advantage Nursing Services, Inc | IL | Nursing Care Agency | $0 | $10.7M |
| Charlotte Jakkula | IL | Dentist | $0 | $3.9M |
| Yoosuk Ko | IL | Dentist | $0 | $3.7M |
| Joseph Banno | IL | Urology Physician | $891.5K | $15.7K |
| Chittaranjan Reddy | IL | Ophthalmology Physician | $696.6K | $79K |
| Timir Baman | IL | Clinical Cardiac Electrophysiology Physician | $513.2K | $201.2K |
| Lisa Snyder | IL | Physical Medicine & Rehabilitation Physician | $269.9K | $441.1K |
| Amit Mehrotra | IL | Clinical Cardiac Electrophysiology Physician | $387.9K | $175.7K |
| Joshua Kentosh | IL | Dermatology Physician | $440.3K | $63.8K |
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