Active NPI 1710910583 Individual Practitioner Male Practitioner

Dr. Bruce T Vest , MD

Orthopaedic Surgery • Alton, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Vest, MD is a certified Orthopaedic Surgery practicing in Alton, IL. With approximately 41 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1985, Dr. Vest delivers high-quality medical care to the local community at 4411 ALBY ST.

Dr. Vest accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4411 Alby St

Alton, IL 620025916

Telephone 6184748052

Fax 6184748054

Associated Practice Facility / Clinic

🏢 Orthopedic & Sports Medicine Clinic, P.c. Facility NPI 1982637658

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Alton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +13.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Alton, IL (1064 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vest (41 Years) 41 Yrs

Alton Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	9,340	95	$2.18	$0.13
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,650	64	$92.00	$25.60
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	984	243	$24.95	$6.97
99213 Established patient office or other outpatient visit, typically 15 minutes	669	331	$134.00	$92.87
97140 Therapy procedure using manual technique, each 15 minutes	602	53	$82.00	$21.78
20610 Aspiration and/or injection of fluid from large joint	496	170	$270.00	$59.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	275	159	$64.00	$14.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	135	$202.97	$130.21
73562 X-ray of knee, 3 views	215	133	$168.00	$40.01
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	199	21	$59.00	$9.46
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	141	26	$300.00	$72.43
72110 X-ray of lower and sacral spine, minimum of 4 views	122	115	$251.00	$50.73
73502 X-ray of hip, 2-3 views	110	77	$185.00	$42.81
73030 X-ray of shoulder, minimum of 2 views	96	73	$154.00	$33.67
73110 X-ray of wrist, minimum of 3 views	72	23	$144.00	$39.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$320.00	$174.06
97161 Evaluation of physical therapy, typically 20 minutes	68	58	$202.00	$101.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$223.00	$114.85
73610 X-ray of ankle, minimum of 3 views	51	22	$152.00	$35.48
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	49	12	$50.00	$23.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	45	$453.00	$181.59
73130 X-ray of hand, minimum of 3 views	45	27	$144.00	$36.73
29700 Removal or bivalving of gauntlet, boot, or body cast	39	18	$150.00	$46.27
73630 X-ray of foot, minimum of 3 views	38	21	$145.00	$33.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$299.00	$187.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$194.00	$82.63
29075 Application of elbow to finger cast	26	12	$270.00	$76.58
73080 X-ray of elbow, minimum of 3 views	25	11	$147.00	$32.67
72050 X-ray of upper spine, 4 or 5 views	21	20	$233.00	$52.21
62323 Injection of substance into lower spine canal using imaging guidance	19	16	$2500.00	$105.21
73590 X-ray of lower leg, 2 views	19	11	$134.00	$31.25
73060 X-ray of upper arm, minimum of 2 views	18	12	$146.00	$31.59
73523 X-ray of both hips, minimum of 5 views	14	14	$203.00	$60.87
97164 Re-evaluation for physical therapy, typically 20 minutes	11	11	$182.00	$69.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,230	250	$25.00	$6.54
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,155	59	$92.00	$24.75
99213 Established patient office or other outpatient visit, typically 15 minutes	686	340	$134.00	$89.92
20610 Aspiration and/or injection of fluid from large joint	473	139	$270.00	$55.31
97140 Therapy procedure using manual technique, each 15 minutes	452	48	$82.00	$21.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	196	$202.00	$126.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	289	152	$64.00	$13.88
73562 X-ray of knee, 3 views	197	115	$168.00	$38.29
73502 X-ray of hip, 2-3 views	127	77	$185.00	$39.77
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	122	20	$300.00	$72.78
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	121	17	$59.00	$9.29
72110 X-ray of lower and sacral spine, minimum of 4 views	97	90	$251.00	$49.41
73610 X-ray of ankle, minimum of 3 views	90	32	$152.00	$34.38
73030 X-ray of shoulder, minimum of 2 views	89	54	$154.00	$32.88
73110 X-ray of wrist, minimum of 3 views	79	21	$144.00	$39.51
97161 Evaluation of physical therapy, typically 20 minutes	57	53	$202.00	$97.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$320.00	$166.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	51	$453.00	$177.36
73130 X-ray of hand, minimum of 3 views	42	27	$144.00	$35.35
73630 X-ray of foot, minimum of 3 views	40	26	$145.00	$32.32
73564 X-ray of knee, 4 or more views	38	18	$204.00	$40.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	18	$194.00	$80.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	30	$301.89	$176.79
62323 Injection of substance into lower spine canal using imaging guidance	23	16	$2500.00	$101.35
72050 X-ray of upper spine, 4 or 5 views	22	18	$233.00	$51.71
J1885 Injection, ketorolac tromethamine, per 15 mg	22	11	$20.00	$0.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$223.00	$113.52
73080 X-ray of elbow, minimum of 3 views	18	11	$147.00	$31.91
97164 Re-evaluation for physical therapy, typically 20 minutes	18	17	$182.00	$69.04
73523 X-ray of both hips, minimum of 5 views	14	14	$203.00	$57.09
72148 MRI scan of lower spinal canal	14	14	$2450.00	$194.46
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$6369.00	$1299.19
73721 Mri scan of leg joint without contrast	11	11	$2049.00	$204.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	17,139	25	$2.97	$2.45
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,445	308	$25.00	$6.62
99213 Established patient office or other outpatient visit, typically 15 minutes	1,251	491	$134.00	$90.92
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	684	60	$92.00	$25.24
20610 Aspiration and/or injection of fluid from large joint	527	174	$270.00	$58.61
97140 Therapy procedure using manual technique, each 15 minutes	377	53	$82.00	$22.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	355	190	$64.00	$14.25
73562 X-ray of knee, 3 views	266	154	$168.00	$40.17
73502 X-ray of hip, 2-3 views	183	113	$185.00	$43.06
72110 X-ray of lower and sacral spine, minimum of 4 views	178	157	$251.00	$50.49
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	158	32	$59.00	$9.57
73110 X-ray of wrist, minimum of 3 views	154	37	$144.00	$40.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$223.00	$113.97
73030 X-ray of shoulder, minimum of 2 views	137	78	$154.00	$33.36
73610 X-ray of ankle, minimum of 3 views	103	44	$152.00	$34.40
73130 X-ray of hand, minimum of 3 views	97	37	$144.00	$35.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	65	$202.00	$128.42
73630 X-ray of foot, minimum of 3 views	66	40	$145.00	$33.37
97161 Evaluation of physical therapy, typically 20 minutes	63	58	$202.00	$100.37
73080 X-ray of elbow, minimum of 3 views	57	24	$147.00	$30.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	22	$124.00	$39.96
72148 MRI scan of lower spinal canal	44	43	$2450.00	$202.10
72050 X-ray of upper spine, 4 or 5 views	38	37	$233.00	$53.19
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	35	17	$50.00	$21.02
J1885 Injection, ketorolac tromethamine, per 15 mg	35	19	$20.00	$0.58
29075 Application of elbow to finger cast	34	17	$270.00	$87.94
20600 Aspiration and/or injection of fluid from small joint	27	18	$203.00	$46.94
77080 Dxa bone density measurement of hip, pelvis, spine	27	27	$474.00	$37.20
62323 Injection of substance into lower spine canal using imaging guidance	27	21	$2500.00	$99.93
73564 X-ray of knee, 4 or more views	23	14	$204.00	$41.58
97164 Re-evaluation for physical therapy, typically 20 minutes	22	21	$182.00	$70.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$340.00	$138.70
73523 X-ray of both hips, minimum of 5 views	17	17	$203.00	$58.33
73721 Mri scan of leg joint without contrast	17	16	$2049.00	$212.71
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$253.00	$104.15
72070 X-ray of middle spine, 2 views	16	11	$165.00	$33.06
20552 Injections of trigger points in 1 or 2 muscles	14	11	$262.00	$50.90
73221 Mri scan of arm joint without contrast	12	11	$2015.00	$213.04
G0008 Administration of influenza virus vaccine	11	11	$45.00	$28.87
90756 Vaccine for influenza for injection into muscle	11	11	$50.00	$29.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	39,648	43	$3.00	$2.18
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,530	345	$25.00	$6.86
99213 Established patient office or other outpatient visit, typically 15 minutes	1,223	522	$134.00	$92.11
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,185	90	$92.00	$24.87
20610 Aspiration and/or injection of fluid from large joint	682	206	$270.00	$57.91
97140 Therapy procedure using manual technique, each 15 minutes	389	60	$82.00	$22.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	374	212	$64.00	$14.15
73562 X-ray of knee, 3 views	336	202	$168.00	$39.45
72110 X-ray of lower and sacral spine, minimum of 4 views	274	221	$251.00	$49.11
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	263	49	$59.00	$10.12
73502 X-ray of hip, 2-3 views	213	140	$185.00	$41.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	135	$202.00	$130.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$223.00	$114.83
73610 X-ray of ankle, minimum of 3 views	130	61	$152.00	$34.83
73030 X-ray of shoulder, minimum of 2 views	127	84	$154.00	$32.41
97161 Evaluation of physical therapy, typically 20 minutes	92	82	$202.00	$99.83
73630 X-ray of foot, minimum of 3 views	87	52	$145.00	$32.47
73110 X-ray of wrist, minimum of 3 views	81	31	$144.00	$38.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	58	$453.00	$206.22
72148 MRI scan of lower spinal canal	60	59	$2450.00	$206.64
73130 X-ray of hand, minimum of 3 views	59	37	$144.00	$35.68
72050 X-ray of upper spine, 4 or 5 views	57	49	$233.00	$50.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	31	$194.00	$74.02
77080 Dxa bone density measurement of hip, pelvis, spine	51	51	$474.00	$38.06
97164 Re-evaluation for physical therapy, typically 20 minutes	49	42	$182.00	$68.53
62323 Injection of substance into lower spine canal using imaging guidance	47	30	$2500.00	$97.65
73564 X-ray of knee, 4 or more views	34	17	$204.00	$39.57
J1885 Injection, ketorolac tromethamine, per 15 mg	32	21	$20.00	$0.55
72070 X-ray of middle spine, 2 views	30	18	$165.00	$31.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	19	$124.00	$39.51
73590 X-ray of lower leg, 2 views	28	12	$134.00	$30.68
73721 Mri scan of leg joint without contrast	28	27	$2049.00	$222.54
73523 X-ray of both hips, minimum of 5 views	26	26	$203.00	$60.80
73080 X-ray of elbow, minimum of 3 views	26	20	$147.00	$32.19
20600 Aspiration and/or injection of fluid from small joint	24	15	$203.00	$48.61
20552 Injections of trigger points in 1 or 2 muscles	24	16	$262.00	$54.27
73552 X-ray of thigh bone, minimum 2 views	23	11	$148.00	$30.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$320.00	$165.91
73221 Mri scan of arm joint without contrast	19	19	$2015.00	$222.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$340.00	$140.52
29880 Removal of both knee cartilages using an endoscope	15	15	$5449.00	$503.66
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	15	15	$2670.93	$95.17
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$6369.00	$1334.33
G0008 Administration of influenza virus vaccine	11	11	$45.00	$16.70
90756 Vaccine for influenza for injection into muscle	11	11	$50.00	$28.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	51,744	65	$3.00	$2.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,768	389	$25.00	$7.03
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,303	101	$92.00	$26.93
99213 Established patient office or other outpatient visit, typically 15 minutes	1,273	533	$134.00	$75.96
20610 Aspiration and/or injection of fluid from large joint	778	229	$270.00	$56.94
97140 Therapy procedure using manual technique, each 15 minutes	567	72	$82.00	$23.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	442	242	$64.00	$14.26
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	438	66	$59.00	$10.60
73562 X-ray of knee, 3 views	391	218	$168.00	$38.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	194	$202.00	$110.80
72110 X-ray of lower and sacral spine, minimum of 4 views	286	231	$251.00	$47.23
73502 X-ray of hip, 2-3 views	273	156	$185.00	$42.29
73030 X-ray of shoulder, minimum of 2 views	182	130	$154.00	$31.93
73110 X-ray of wrist, minimum of 3 views	165	42	$144.00	$37.75
73610 X-ray of ankle, minimum of 3 views	115	47	$152.00	$33.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$223.00	$109.67
97161 Evaluation of physical therapy, typically 20 minutes	103	84	$202.00	$87.07
73130 X-ray of hand, minimum of 3 views	94	56	$144.00	$34.48
72050 X-ray of upper spine, 4 or 5 views	78	67	$233.00	$49.09
72148 MRI scan of lower spinal canal	77	71	$2450.00	$213.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	77	$453.00	$211.64
97164 Re-evaluation for physical therapy, typically 20 minutes	67	46	$182.00	$59.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	26	$194.00	$75.48
62323 Injection of substance into lower spine canal using imaging guidance	64	42	$2500.00	$102.65
J1885 Injection, ketorolac tromethamine, per 15 mg	61	29	$20.00	$0.57
73630 X-ray of foot, minimum of 3 views	58	43	$145.00	$31.14
72070 X-ray of middle spine, 2 views	49	35	$165.00	$31.42
73590 X-ray of lower leg, 2 views	49	14	$134.00	$23.60
73080 X-ray of elbow, minimum of 3 views	48	26	$147.00	$30.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	14	$62.00	$22.85
73221 Mri scan of arm joint without contrast	45	39	$2015.00	$226.66
77080 Dxa bone density measurement of hip, pelvis, spine	38	38	$474.00	$38.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$320.00	$169.49
73523 X-ray of both hips, minimum of 5 views	31	30	$203.00	$57.85
20600 Aspiration and/or injection of fluid from small joint	29	17	$203.00	$46.96
73721 Mri scan of leg joint without contrast	29	28	$2049.00	$225.29
20550 Injection into tendon or ligament	28	19	$218.00	$51.42
20552 Injections of trigger points in 1 or 2 muscles	25	19	$262.00	$58.45
73564 X-ray of knee, 4 or more views	23	12	$204.00	$38.85
73552 X-ray of thigh bone, minimum 2 views	21	13	$148.00	$30.65
29075 Application of elbow to finger cast	20	12	$270.00	$88.83
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	19	12	$50.00	$20.20
G0008 Administration of influenza virus vaccine	17	17	$45.00	$16.55
90756 Vaccine for influenza for injection into muscle	17	17	$50.00	$27.70
72141 MRI scan of upper spinal canal	17	17	$2263.00	$214.52
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$6369.00	$1355.13
20610 Aspiration and/or injection of fluid from large joint	14	12	$270.00	$42.11
27447 Replacement of knee joint, both sides of knee	13	13	$8854.00	$1483.00
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$215.00	$50.77
77077 X-ray of joints, multiple	12	12	$240.00	$45.65
72114 X-ray lower and sacral spine, minimum of 6 views	11	11	$320.00	$58.17
72170 X-ray of pelvis, 1-2 views	11	11	$144.00	$28.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	49,728	61	$3.00	$2.13
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,627	389	$25.00	$6.65
99213 Established patient office or other outpatient visit, typically 15 minutes	1,253	589	$134.00	$73.63
20610 Aspiration and/or injection of fluid from large joint	902	277	$270.00	$56.64
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	801	105	$92.00	$25.76
73562 X-ray of knee, 3 views	492	275	$168.00	$35.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	386	231	$64.00	$16.21
97140 Therapy procedure using manual technique, each 15 minutes	378	81	$82.00	$21.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	222	$202.06	$106.59
73502 X-ray of hip, 2-3 views	308	181	$185.00	$38.33
72110 X-ray of lower and sacral spine, minimum of 4 views	301	257	$251.00	$49.18
73030 X-ray of shoulder, minimum of 2 views	225	161	$154.00	$28.98
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	223	67	$59.00	$10.47
73110 X-ray of wrist, minimum of 3 views	218	44	$144.00	$35.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$223.00	$108.66
73610 X-ray of ankle, minimum of 3 views	135	42	$152.00	$31.62
73130 X-ray of hand, minimum of 3 views	111	56	$144.00	$32.67
J1040 Injection, methylprednisolone acetate, 80 mg	105	88	$24.52	$12.37
72148 MRI scan of lower spinal canal	95	95	$2450.00	$211.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	86	13	$62.00	$22.29
73630 X-ray of foot, minimum of 3 views	86	45	$145.00	$29.66
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	81	20	$300.00	$133.73
72050 X-ray of upper spine, 4 or 5 views	81	71	$233.00	$48.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	76	$453.00	$209.48
97161 Evaluation of physical therapy, typically 20 minutes	76	70	$202.00	$83.70
97164 Re-evaluation for physical therapy, typically 20 minutes	64	43	$182.00	$57.13
73080 X-ray of elbow, minimum of 3 views	59	31	$147.00	$28.96
77080 Dxa bone density measurement of hip, pelvis, spine	56	56	$474.00	$38.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$320.00	$168.01
73721 Mri scan of leg joint without contrast	52	51	$2049.00	$225.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	25	$194.00	$75.32
62322 Injection of substance into lower spine canal	47	29	$1320.00	$85.34
73564 X-ray of knee, 4 or more views	47	13	$204.00	$38.69
73221 Mri scan of arm joint without contrast	43	42	$2015.00	$227.55
J1885 Injection, ketorolac tromethamine, per 15 mg	41	25	$20.00	$0.51
97162 Evaluation for physical therapy, typically 30 minutes	39	37	$222.00	$85.15
72070 X-ray of middle spine, 2 views	37	31	$165.00	$33.45
73523 X-ray of both hips, minimum of 5 views	34	34	$203.00	$57.22
72170 X-ray of pelvis, 1-2 views	33	20	$144.00	$28.12
20552 Injections of trigger points in 1 or 2 muscles	33	27	$262.00	$52.46
73552 X-ray of thigh bone, minimum 2 views	30	18	$148.00	$28.06
97530 Therapy procedure using functional activities	30	12	$95.00	$36.68
29075 Application of elbow to finger cast	28	17	$279.64	$90.20
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	28	17	$50.00	$19.72
27447 Replacement of knee joint, both sides of knee	25	24	$8854.00	$1441.87
73590 X-ray of lower leg, 2 views	25	11	$134.00	$25.67
77077 X-ray of joints, multiple	25	25	$240.00	$38.35
72141 MRI scan of upper spinal canal	20	20	$2263.00	$216.03
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$6369.00	$1347.86
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$4757.00	$191.74
29823 Removal of extensive shoulder joint tissue using an endoscope	19	19	$4544.00	$152.64
73060 X-ray of upper arm, minimum of 2 views	18	14	$146.00	$28.46
20600 Aspiration and/or injection of fluid from small joint	18	12	$203.00	$39.25
29824 Partial removal of collar bone at shoulder using an endoscope	18	18	$3502.00	$480.33
20605 Aspiration and/or injection of medium joint or joint capsule	18	14	$215.00	$48.15
20610 Aspiration and/or injection of fluid from large joint	16	12	$270.00	$43.36
Q4006 Cast supplies, long arm cast, adult (11 years +), fiberglass	16	12	$80.00	$29.61
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	14	14	$2504.00	$95.04
29880 Removal of both knee cartilages using an endoscope	13	13	$5449.00	$597.62
90756 Vaccine for influenza for injection into muscle	11	11	$50.00	$26.13
G0008 Administration of influenza virus vaccine	11	11	$45.00	$16.22
23412 Repair of chronic torn shoulder rotator cuff	11	11	$4890.00	$863.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	2,448	483	$25.00	$6.96
99213 Established patient office or other outpatient visit, typically 15 minutes	1,745	698	$134.00	$71.73
20610 Aspiration and/or injection of fluid from large joint	1,132	309	$270.48	$55.75
73562 X-ray of knee, 3 views	461	256	$168.00	$33.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	443	261	$64.00	$19.77
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	443	98	$92.00	$25.35
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	395	77	$300.00	$142.74
97140 Therapy procedure using manual technique, each 15 minutes	291	86	$82.00	$21.25
72110 X-ray of lower and sacral spine, minimum of 4 views	288	255	$251.00	$46.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	197	$202.00	$104.88
73502 X-ray of hip, 2-3 views	256	165	$185.00	$36.63
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	248	76	$59.00	$10.82
73030 X-ray of shoulder, minimum of 2 views	242	158	$154.00	$27.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$223.00	$108.34
73110 X-ray of wrist, minimum of 3 views	140	42	$144.00	$32.04
73610 X-ray of ankle, minimum of 3 views	111	48	$152.00	$28.57
97162 Evaluation for physical therapy, typically 30 minutes	101	92	$222.00	$81.72
73630 X-ray of foot, minimum of 3 views	100	55	$145.00	$28.12
73130 X-ray of hand, minimum of 3 views	93	64	$144.00	$30.63
72148 MRI scan of lower spinal canal	93	92	$2450.00	$215.19
72050 X-ray of upper spine, 4 or 5 views	75	72	$233.00	$44.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	74	14	$62.00	$20.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	66	$453.00	$207.75
97164 Re-evaluation for physical therapy, typically 20 minutes	70	56	$182.00	$55.97
73080 X-ray of elbow, minimum of 3 views	67	30	$147.00	$25.67
20600 Aspiration and/or injection of fluid from small joint	65	24	$203.00	$38.51
20552 Injections of trigger points in 1 or 2 muscles	65	46	$262.00	$51.86
77080 Dxa bone density measurement of hip, pelvis, spine	59	59	$474.00	$40.35
62322 Injection of substance into lower spine canal	55	38	$1320.00	$86.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	22	$194.00	$74.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$320.00	$163.70
73221 Mri scan of arm joint without contrast	43	41	$2015.00	$225.10
73564 X-ray of knee, 4 or more views	39	15	$204.00	$32.75
73721 Mri scan of leg joint without contrast	37	33	$2049.00	$226.00
73523 X-ray of both hips, minimum of 5 views	36	33	$203.00	$54.69
72070 X-ray of middle spine, 2 views	34	29	$165.00	$32.30
20610 Aspiration and/or injection of fluid from large joint	28	20	$270.00	$43.22
J1885 Injection, ketorolac tromethamine, per 15 mg	26	16	$20.00	$0.58
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	24	15	$50.00	$19.28
29075 Application of elbow to finger cast	24	15	$270.00	$88.20
20550 Injection into tendon or ligament	22	14	$218.00	$43.33
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$215.00	$50.52
29823 Removal of extensive shoulder joint tissue using an endoscope	17	17	$4544.00	$183.86
71046 X-ray of chest, 2 views	16	11	$150.00	$26.17
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$4757.00	$192.48
77077 X-ray of joints, multiple	14	13	$240.00	$36.48
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$3502.00	$439.17
27447 Replacement of knee joint, both sides of knee	14	12	$8854.00	$1454.09
72141 MRI scan of upper spinal canal	14	14	$2263.00	$217.70
23412 Repair of chronic torn shoulder rotator cuff	12	12	$4890.00	$868.67
64721 Release and/or relocation of hand nerve	12	11	$2907.00	$410.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	2,020	462	$25.02	$6.76
99213 Established patient office or other outpatient visit, typically 15 minutes	1,384	656	$134.00	$71.87
20610 Aspiration and/or injection of fluid from large joint	1,094	320	$270.00	$56.28
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	588	124	$92.16	$26.93
73562 X-ray of knee, 3 views	495	285	$168.00	$33.87
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	467	100	$300.00	$150.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	400	254	$64.00	$24.42
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	379	104	$59.00	$10.30
97140 Therapy procedure using manual technique, each 15 minutes	360	107	$82.00	$22.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	229	$202.00	$105.26
72110 X-ray of lower and sacral spine, minimum of 4 views	316	271	$251.00	$47.06
73502 X-ray of hip, 2-3 views	316	196	$185.00	$38.25
73030 X-ray of shoulder, minimum of 2 views	277	171	$154.00	$28.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$223.00	$107.27
97164 Re-evaluation for physical therapy, typically 20 minutes	142	93	$182.00	$54.97
97162 Evaluation for physical therapy, typically 30 minutes	123	110	$222.00	$81.80
73630 X-ray of foot, minimum of 3 views	107	59	$145.00	$27.62
73130 X-ray of hand, minimum of 3 views	106	59	$144.00	$29.25
72050 X-ray of upper spine, 4 or 5 views	106	89	$233.00	$43.68
72148 MRI scan of lower spinal canal	99	99	$2450.00	$214.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	97	25	$62.00	$19.57
73610 X-ray of ankle, minimum of 3 views	90	54	$152.00	$29.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	78	$453.00	$207.36
62322 Injection of substance into lower spine canal	80	50	$1320.00	$92.04
77080 Dxa bone density measurement of hip, pelvis, spine	71	71	$474.00	$39.24
73110 X-ray of wrist, minimum of 3 views	60	28	$144.00	$33.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$320.00	$165.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	30	$194.00	$73.43
73721 Mri scan of leg joint without contrast	54	49	$2049.00	$222.70
73523 X-ray of both hips, minimum of 5 views	48	47	$203.00	$54.56
73080 X-ray of elbow, minimum of 3 views	44	25	$147.00	$29.67
73060 X-ray of upper arm, minimum of 2 views	44	20	$146.00	$27.70
73221 Mri scan of arm joint without contrast	43	41	$2015.00	$227.55
72070 X-ray of middle spine, 2 views	34	26	$165.00	$32.22
20552 Injections of trigger points in 1 or 2 muscles	33	28	$262.00	$49.69
73564 X-ray of knee, 4 or more views	32	11	$204.00	$37.32
72141 MRI scan of upper spinal canal	29	28	$2263.00	$208.87
73552 X-ray of thigh bone, minimum 2 views	24	15	$148.00	$28.64
72170 X-ray of pelvis, 1-2 views	20	19	$144.00	$30.77
27447 Replacement of knee joint, both sides of knee	20	19	$8854.00	$1466.19
77077 X-ray of joints, multiple	19	17	$240.00	$36.43
20550 Injection into tendon or ligament	18	16	$218.00	$45.10
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$5943.00	$1285.26
20600 Aspiration and/or injection of fluid from small joint	17	12	$203.00	$36.04
20610 Aspiration and/or injection of fluid from large joint	16	12	$270.00	$49.54
J1885 Injection, ketorolac tromethamine, per 15 mg	16	12	$20.00	$0.66
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$4544.00	$198.21
72114 X-ray lower and sacral spine, minimum of 6 views	15	15	$320.00	$59.53
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$4757.00	$194.03
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$6369.00	$1328.31
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	13	13	$2889.23	$97.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$9183.00	$1139.76
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$3502.00	$496.04
G0008 Administration of influenza virus vaccine	11	11	$45.00	$24.38
29880 Removal of both knee cartilages using an endoscope	11	11	$5944.36	$582.70
95910 Nerve conduction, 7-8 studies	11	11	$1248.00	$192.78
97161 Evaluation of physical therapy, typically 20 minutes	11	11	$202.00	$81.34
29875 Partial removal of knee joint lining using an endoscope	11	11	$4240.36	$88.09

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Alexandria Ruzicka , PA-C

Physician Assistant

NPI 1104247741

Physician Assistant (Certified)

David Motzer , ATC

Specialist/Technologist - Athletic Trainer

NPI 1255781563

Certified Athletic Trainer

Dr. Kathleen Vest , MD

Internal Medicine

NPI 1750642617

Doctor of Medicine (M.D.)

Alice Buzzard , LPTA

Physical Therapy Assistant

NPI 1922441831

Licensed Physical Therapist Assistant

Amie Wells

Physical Therapist

NPI 1942310479

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2007

Registered at 4411 ALBY ST, ALTON, IL 620025916 (Tel: 6184748052)

📍

Updated Business Mailing Address December 12, 2007

Registered at 4411 ALBY ST, ALTON, IL 620025916 (Tel: 6184748052)

👤

Provider Name / Credentials Updated December 12, 2007

Recorded as BRUCE VEST, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2007

Orthopaedic Surgery

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710910583

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2006

Last Update: December 12, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4411 Alby St

Alton, IL 620025916

Phone: 6184748052

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.