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    OpenPayerNPI Medicare & MedicaidIan Duncan
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    Ian Duncan — Billing Profile & Reimbursement Data

    NPI 1982866927 · Visalia, CA · Orthopaedic Surgery Physician

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    Ian Duncan is a orthopaedic surgery physician provider located in Visalia, California. This profile covers 29 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
    OrganizationIan Duncan
    Address820 S Akers
    CityVisalia
    StateCA
    ZIP93277
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 1, 2008

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

    Payer SourceTotal Paid
    Medicare$2.2M
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4186Epifix, per square centimeter (add-on, list separately in addition to primary procedure)14,590$120$1.7M
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…110$910$100.5K
    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…70$1,000$74.3K
    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…960$70$67.4K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.400$130$50.4K
    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…400$100$40.8K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$830$23.3K
    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…20$1,020$22.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.180$100$18.5K
    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…210$80$17.5K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q41861301,100$120$322.2K
    364751213030$940$52.9K
    2744711782030$1,110$48.9K
    2713032454030$1,070$40.8K
    298276729020$1,320$30.3K
    2347214619020$870$26K
    992146,92437,970120$90$23.2K
    298807811020$900$18.9K
    1527116170110$110$18.6K
    110423481,030100$80$18.1K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel WatrousCARheumatology Physician$4M$5M
    Dilsher DhootCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Daniel LearnedCARetina Specialist (Ophthalmology) Physician$5.1M$0
    Nallathamby ThayapranCAInterventional Cardiology Physician$3.2M$0
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Manisha MittalCARheumatology Physician$2M$0
    Robert HavardCAMedical Oncology Physician$1.9M$0
    Aditya VermaCACardiovascular Disease Physician$1.8M$0
    Richard DemeraCAAllergy & Immunology Physician$1.8M$0
    Carlos PazCAProcedural Dermatology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of TulareCAState or Local Public Health Clinic/Center$0$273.8M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$31M
    Kusai AzizCANuclear Cardiology Physician$2.1M$648.9K
    Noble Surgery CenterCAAmbulatory Surgical Clinic/Center$1.2M$270.3K
    Phillip MyersCAPhysician Assistant$1.4M$0
    Kazi RahmanCAFoot & Ankle Surgery Podiatrist$1.1M$0
    Tom YangCANephrology Physician$877.6K$0
    Abdulrahman HamdiCAVascular Surgery Physician$822.3K$0
    Joshua DayCAPhysician Assistant$764.4K$0
    Sequoia Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$708.9K$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. California Distribution
    Ian Duncan — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California