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    OpenPayerNPI Medicare & MedicaidDaniel Larose
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    Daniel Larose — Billing Profile & Reimbursement Data

    NPI 1730187410 · Council Bluffs, IA · Orthopaedic Surgery Physician

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    Daniel Larose is a orthopaedic surgery physician provider located in Council Bluffs, Iowa. This profile covers 13 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
    OrganizationDaniel Larose
    Address1 Edmundson Place
    CityCouncil Bluffs
    StateIA
    ZIP51503
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 7, 2005

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

    Payer SourceTotal Paid
    Medicare$31.1K
    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.

    13 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…130$60$7.9K
    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…60$90$5.5K
    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…40$120$4.6K
    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…40$80$3.5K
    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,…80$40$3.4K
    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…40$50$2.1K
    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…10$120$1.5K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.50$20$990
    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.20$30$610
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…20$30$490

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,0854,690100$70$14.4K
    992131,9104,740100$50$8K
    992048021,87030$100$5K
    2061026352050$40$4.2K
    73221688020$70$3.3K
    992036291,60030$60$3.2K
    992122621,24040$30$2.1K
    7356228937050$20$1.5K
    7350230436050$20$1.3K
    7303018137040$10$930

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Montgomery County Memorial HospitalIARural Health Clinic/Center$0$1.9M
    Sakeer HussainIAHematology & Oncology Physician$1.9M$0
    Clarinda Regional Health CenterIAFamily Medicine Physician$0$1.8M
    Clarinda Regional Health CenterIACritical Access Hospital$0$1.7M
    Montgomery County Memorial HospitalIACritical Access Hospital$0$1.7M
    Montgomery County Memorial HospitalIARural Health Clinic/Center$0$1M
    Clayton ThorNEOrthopaedic Surgery Physician$207.4K$0
    Ryan MartinNEPulmonary Disease Physician$192.3K$0
    Douglas FiedlerNEPulmonary Disease Physician$190.5K$0
    Todd SekundiakNEOrthopaedic Surgery Physician$188.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trivium Life ServicesIADevelopmentally Disabled Services Day Training Agency$0$149.2M
    Vocational Development Center IncIADevelopmentally Disabled Services Day Training Agency$0$59M
    Rem Iowa Community Services, IncIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$54.3M
    Focus-family Options & Community Supports, IncIADevelopmentally Disabled Services Day Training Agency$0$41.2M
    Council Bluffs Community School DistrictIALocal Education Agency (LEA)$0$17.5M
    Family Connections, IncIACase Management Agency$0$15.1M
    Alegent Health Bergan Mercy Health SystemIAGeneral Acute Care Hospital$0$13M
    Jennie Edmundson Memorial HospitalIAGeneral Acute Care Hospital$0$9.8M
    Alegent Creighton ClinicIAFamily Medicine Physician$0$9.6M
    City Of Council BluffsIAAmbulance$425.7K$6.2M

    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. Iowa Distribution
    Daniel Larose — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa