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

    NPI 1770526410 · Clearwater, FL · Adult Reconstructive Orthopaedic Surgery Physician

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    John Kilgore is a adult reconstructive orthopaedic surgery physician provider located in Clearwater, Florida. This profile covers 16 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 Kilgore
    Address430 Morton Plant St
    CityClearwater
    StateFL
    ZIP33756
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedJune 13, 2006

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

    Payer SourceTotal Paid
    Medicare$386.1K
    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.

    16 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…120$1,030$124K
    J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg5,400$10$70.2K
    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…60$1,040$57.1K
    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…490$60$28.7K
    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…450$50$23.6K
    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…210$90$18.3K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.540$30$17.7K
    73503In this diagnostic procedure, the provider takes a minimum of four X–ray images from different projections (directions or angles) of one hip, either left or right, to check for fracture, swelling, or…270$40$11.2K
    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.320$30$9K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…160$40$6.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475079030$1,230$58.9K
    2713011659030$1,150$43.6K
    J7322101001,460$10$30.5K
    9921412,61432,760140$90$25K
    992133,06830,01080$60$12K
    721489401,09050$110$11.4K
    206102052,83060$50$7K
    992046,08019,04040$110$7K
    992033,13211,72040$70$4.4K
    73564261,28050$30$2.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ethan CareyFLPhysician Assistant$567.7K$0
    Jason StackFLAdult Reconstructive Orthopaedic Surgery Physician$487.5K$0
    Scott WisotskyFLOrthopaedic Hand Surgery Physician$486.7K$0
    David WhiddonFLAdult Reconstructive Orthopaedic Surgery Physician$454K$0
    George WhiteFLSurgery of the Hand (Surgery) Physician$448.6K$0
    David CheongFLOrthopaedic Surgery Physician$444.5K$0
    Thomas BernasekFLOrthopaedic Surgery Physician$440.9K$0
    Andrew CooperFLOrthopaedic Surgery Physician$420.4K$0
    Kurt HirshornFLOrthopaedic Surgery Physician$411.8K$0
    Brian PalumboFLOrthopaedic Surgery Physician$407.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rai Care Centers Of Florida I, LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$16.1M
    Morton Plant Hospital Association, Inc.FLPsychiatric Hospital Unit$0$15.8M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.5M
    Steven CohenFLOphthalmology Physician$4.4M$0
    Eugenia Rullan BidotFLRheumatology Physician$3.7M$0
    Adam RosenFLRheumatology Physician$3.4M$0
    Cardiovascular Asc LLCFLAmbulatory Surgical Clinic/Center$3.1M$0
    Nuruddin JoomaFLMedical Oncology Physician$2.2M$0
    John MilizianoFLNuclear Radiology Physician$1.9M$0
    Vanessa LucarellaFLCardiovascular Disease Physician$1.1M$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. Florida Distribution
    John Kilgore — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida