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    Daniel Troy — Billing Profile & Reimbursement Data

    NPI 1790737021 · Oak Lawn, IL · Orthopaedic Surgery Physician

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    Daniel Troy is a orthopaedic surgery physician provider located in Oak Lawn, Illinois. This profile covers 66 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Troy
    Address6701 W 95th St
    CityOak Lawn
    StateIL
    ZIP60453
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 16, 2006

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

    Payer SourceTotal Paid
    Medicare$946.4K
    Medicaid$2.5K

    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.

    66 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…1,760$70$125.1K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…5,960$20$107.4K
    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…1,250$90$107.3K
    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…1,380$60$77.5K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose850$60$49.3K
    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…340$100$34.9K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).200$160$32.5K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.190$150$29.2K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…1,210$20$29K
    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…30$1,130$28.3K

    Showing 1–10 of 66

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 66 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    66 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744732048040$980$46.8K
    2713024734030$960$33.7K
    644834728070$180$20.8K
    992143,34818,540110$80$17.1K
    6463511218030$350$17K
    27245178010$930$16.7K
    J7321580150$60$16.2K
    27236355020$870$15.6K
    9711054,100480$20$12.9K
    77002433030$80$12.9K

    Showing 1–10 of 66

    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.

    2 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…120$20$2.3K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20$10$90

    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

    2 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…9,25514,190280$20$38.9K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg24828080$10$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ayman RawdaILPediatrics Physician$0$15M
    Ghiath Al KassarILPediatrics Physician$0$6.4M
    Mazen RachidILPediatrics Physician$0$5.1M
    Mohamed AdenwallaILOphthalmology Physician$2.3M$2.4M
    Aaron WeinbergILRetina Specialist (Ophthalmology) Physician$3.3M$1.2M
    Subash AroraILNeonatal-Perinatal Medicine Physician$0$3.4M
    Omprakash SawlaniILPediatrics Physician$0$3.3M
    Ghassan ZalzalehILHematology & Oncology Physician$3.1M$149K
    Amar HamadILHematology & Oncology Physician$3M$97.1K
    Olufemi AboyejiILInternal Medicine Physician$514K$2.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Village Of Oak LawnILLand Ambulance$649.5K$11.6M
    Oda Solutions, IncILMethadone Clinic$0$9.7M
    Ahmed RamahaILGeneral Practice Dentistry$0$4.9M
    Sunil ShahILInternal Medicine Physician$256.6K$1.6M
    Chintan MistryILEmergency Medicine Physician$301K$1.5M
    Rami HaddadILHematology & Oncology Physician$1.2M$219K
    Ashraf AbourahmaILCardiovascular Disease Physician$406.9K$731.9K
    Mohamad BarakatILNephrology Physician$528.6K$463.4K
    Charles BerkelhammerILSpecialist$239.7K$727K
    Novamed Surgery Center Of Oak Lawn, LLCILAmbulatory Surgical Clinic/Center$926.9K$90

    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
    Daniel Troy — 12 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Daniel Troy — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois