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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Lareau
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    Justin Lareau — Billing Profile & Reimbursement Data

    NPI 1992915805 · Westmont, IL · Orthopaedic Surgery Physician

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    Justin Lareau is a orthopaedic surgery physician provider located in Westmont, Illinois. This profile covers 24 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
    OrganizationJustin Lareau
    Address1010 Executive Dr
    CityWestmont
    StateIL
    ZIP60559
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 22, 2007

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

    Payer SourceTotal Paid
    Medicare$438.8K
    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.

    24 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…100$1,120$116.1K
    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…100$1,110$114.2K
    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…290$100$27.4K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose70$400$27.1K
    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.580$30$18.6K
    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…140$120$16.8K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.100$160$16.1K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…100$130$12.4K
    0055TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…90$140$11.8K
    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.420$30$11.7K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274474648040$980$46.8K
    27130634030$960$33.7K
    J73263212040$400$24.7K
    992144,16018,540110$80$17.1K
    2061129639080$80$12.2K
    0055T92040$140$10K
    992134,33617,39070$60$8.8K
    206104031,55060$50$7.6K
    2098586040$120$6.8K
    7214841370050$80$6.2K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ayman RawdaILPediatrics Physician$0$15M
    Alejandra Rodriguez-paezILRheumatology Physician$2.5M$90
    Ami KothariILRheumatology Physician$2.5M$180
    Ankit DesaiILRetina Specialist (Ophthalmology) Physician$1.7M$119.2K
    Chinyoung ParkILRheumatology Physician$1.8M$350
    Renato GoreshiINMOHS-Micrographic Surgery Physician$1.6M$870
    Alfonso BelloILRheumatology Physician$1.4M$310
    Vassilios DimitropoulosINDermatology Physician$1.1M$293.6K
    Cory ConniffILRheumatology Physician$1.2M$0
    Steven MutchnikILUrology Physician$982K$17.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Assay LaboratoryILClinical Medical Laboratory$1.5M$5.5M
    County Of Dupage Department Of HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    Chicago Vascular Asc LLCILAmbulatory Surgical Clinic/Center$6M$0
    Village Of WestmontILLand Ambulance$351.5K$3.7M
    The ThresholdsILMental Health Clinic/Center (Including Community Mental Health Center)$0$3.8M
    Chicago Prostate Cancer Surgery Center, LLCILAmbulatory Surgical Clinic/Center$1.6M$0
    Westmont Surgery Center LLCILAmbulatory Surgical Clinic/Center$1.5M$0
    Kimberly MercurioILPhysical Medicine & Rehabilitation Physician$1M$2.6K
    Sylejmani LLCILCommunity/Retail Pharmacy$724.4K$0
    Nicole RichmanILRheumatology Physician$596.8K$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. Illinois Distribution
    Justin Lareau — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois