Active NPI 1801992516 Individual Practitioner Male Practitioner

Dr. Juan C. Jimenez , MD

Neurological Surgery • Kankakee, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Juan Jimenez, MD is a certified Neurological Surgery practicing in Kankakee, IL. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Jimenez delivers high-quality medical care to the local community at 400 N WALL ST.

Dr. Jimenez is affiliated with Riverside Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of cage or mesh device to spine bone and disc space during spine fusion, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 N Wall St
Suite 402

Kankakee, IL 609012940

Telephone 8159327200

Fax 8159357874

Associated Practice Facility / Clinic

🏢 Riverview Ob-Gyn, Ltd Facility NPI 1518991538

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Kankakee, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Kankakee, IL (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jimenez (30 Years) 30 Yrs

Kankakee Specialty Average (30.0 Years) 30.0 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
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	97	63	$924.00	$256.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	65	$205.00	$121.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$321.00	$161.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	45	$280.00	$163.86
61783 Computer-assisted spinal procedure	44	44	$2940.00	$237.59
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	41	41	$532.00	$262.81
22633 Fusion of spine in lower back with partial removal of spine bone and disc	41	41	$5938.00	$1820.28
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	32	32	$5789.00	$1100.72
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	26	$2474.00	$767.45
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	24	15	$3097.00	$378.73
72114 X-ray lower and sacral spine, minimum of 6 views	24	24	$138.00	$56.21
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	22	22	$5520.00	$1630.71
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$86.00	$35.60
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	18	$2065.00	$775.67
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$2394.00	$676.21
63048 Partial removal of spine bone with release of spinal cord and/or nerves	16	11	$3150.00	$213.06
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$150.00	$86.77
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	13	13	$1312.00	$493.57
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	13	13	$443.54	$233.53
72052 X-ray of upper spine, 6 or more views	13	13	$191.00	$57.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	88	$198.00	$125.68
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	59	57	$785.66	$267.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$306.00	$161.89
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	37	21	$2950.00	$411.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$267.00	$175.77
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	29	29	$5258.00	$1760.78
22633 Fusion of spine in lower back with partial removal of spine bone and disc	29	29	$5656.00	$1864.44
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	28	28	$5514.00	$1093.16
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	26	26	$507.00	$267.51
61783 Computer-assisted spinal procedure	26	26	$2800.00	$241.86
22845 Placement of stabilizing device to front, 2-3 spine bone segments	23	23	$2280.00	$753.55
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$135.00	$88.49
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	14	$3000.00	$209.88
63685 Insertion of spinal neurostimulator pulse generator or receiver	19	18	$2158.00	$192.25
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$2357.00	$783.47
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	18	17	$6404.00	$816.18
72114 X-ray lower and sacral spine, minimum of 6 views	17	17	$131.00	$58.88
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$1967.00	$790.37
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	14	12	$1250.00	$501.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	62	$198.00	$126.53
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	38	$638.00	$266.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$306.00	$163.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	38	$267.00	$174.61
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	25	$5514.00	$1133.38
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$5656.00	$1901.16
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$2357.00	$782.74
72114 X-ray lower and sacral spine, minimum of 6 views	18	18	$131.00	$59.95
61783 Computer-assisted spinal procedure	18	18	$2800.00	$240.66
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	17	17	$6404.00	$855.84
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	16	16	$5258.00	$1752.70
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	15	15	$456.60	$266.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	15	12	$3000.00	$217.75
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$4699.00	$964.67
63685 Insertion of spinal neurostimulator pulse generator or receiver	12	12	$2158.00	$221.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	64	$198.00	$129.73
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	72	50	$638.00	$270.50
22633 Fusion of spine in lower back with partial removal of spine bone and disc	38	37	$5656.00	$1904.63
61783 Computer-assisted spinal procedure	33	32	$2800.00	$243.76
22840 Placement of stabilizing device to back of 1 spine bone in neck	27	26	$2357.00	$793.33
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$5514.00	$1094.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$267.00	$180.89
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	16	16	$5258.00	$1716.83
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	14	12	$2950.00	$414.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$306.00	$159.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	106	$176.00	$106.62
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	71	51	$625.00	$276.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$274.00	$158.52
22633 Fusion of spine in lower back with partial removal of spine bone and disc	37	37	$5656.00	$1953.74
61783 Computer-assisted spinal procedure	31	30	$2800.00	$249.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	27	27	$5514.00	$898.92
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	12	$3000.00	$225.44
22840 Placement of stabilizing device to back of 1 spine bone in neck	23	22	$2357.00	$809.31
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$5258.00	$1800.60
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$1900.00	$816.08
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$2280.00	$777.82
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	12	$2950.00	$425.55
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	13	13	$6404.00	$867.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	113	$176.00	$106.02
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	60	47	$625.00	$275.15
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	59	57	$5514.00	$906.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	42	$237.00	$141.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$274.00	$163.73
22633 Fusion of spine in lower back with partial removal of spine bone and disc	37	37	$5656.00	$1945.79
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	26	$2357.00	$808.64
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	15	$3000.00	$224.87
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$5258.00	$1797.81
61783 Computer-assisted spinal procedure	16	16	$2800.00	$249.21
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	11	$2950.00	$425.21
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	14	14	$1309.00	$536.23
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$2280.00	$740.60
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	12	12	$6404.00	$800.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	100	$176.00	$100.23
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	57	55	$5514.00	$885.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$274.00	$158.54
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	37	$625.00	$259.85
22633 Fusion of spine in lower back with partial removal of spine bone and disc	33	33	$5656.00	$1916.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$237.00	$137.42
22840 Placement of stabilizing device to back of 1 spine bone in neck	29	29	$2357.00	$796.74
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	11	$3000.00	$221.79
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	21	16	$1300.00	$493.94
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	19	18	$1309.00	$530.92
61783 Computer-assisted spinal procedure	19	19	$2800.00	$245.76
22515 Treatment of broken spine bone with stabilizing device, each additional segment	17	13	$600.00	$230.85
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	11	11	$6404.00	$852.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$240.00	$135.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	108	$176.00	$126.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$274.00	$195.07
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	50	50	$5514.00	$1200.89
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	31	$625.00	$342.48
22633 Fusion of spine in lower back with partial removal of spine bone and disc	29	29	$5656.00	$2389.86
22840 Placement of stabilizing device to back of 1 spine bone in neck	28	28	$2357.00	$994.43
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$119.00	$86.63
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	14	$3000.00	$276.86
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	19	$5258.00	$2155.77
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	19	$4699.00	$1176.05
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	16	15	$1300.00	$616.92
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$2280.00	$959.55
61783 Computer-assisted spinal procedure	14	14	$2800.00	$307.30

Medical Specialties & State Licenses

CMS Verified: 2021-03-22

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License IL 036103254

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

36103254 (IL)

Commercial Insurance / Payer ID Bc Group Number

4632039 (IL)

Hospital & Practice Group Affiliations

Riverside Health System

23120 S Lagrange Rd, Frankfort, IL 604237760

Phone: 8154645440

Riverside Health System

350 N Wall St 4th Floor, Kankakee, IL 609012901

Phone: 81593316714592

Riverside Health System

375 N Wall St, Kankakee, IL 609013493

Phone: 8159330194

Riverside Health System

105 S 1st St, Willmington, IL 604818973

Phone: 8154765210

Riverside Health System

5775 E State Route 113, Coal City, IL 604167111

Phone: 8156340100

Practice Associates & Co-Workers

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

3 Associated Practitioners

Katelyn Rugino , PA-C

Physician Assistant

NPI 1669741997

Physician Assistant (Certified)

Karim Bouferrache , PA-C

Physician Assistant

NPI 1780969634

Physician Assistant (Certified)

Kristin Cyrier , NP-C

Nurse Practitioner - Family

NPI 1922571397

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 12, 2012

Registered at 400 N WALL ST, SUITE 402, KANKAKEE, IL 609012940 (Tel: 8159327200)

📍

Updated Business Mailing Address January 12, 2012

Registered at 400 N WALL ST, SUITE 402, KANKAKEE, IL 609012940 (Tel: 8159327200)

👤

Provider Name / Credentials Updated January 12, 2012

Recorded as JUAN JIMENEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2012

Neurological Surgery (License #036103254 in IL)

🟢

Initial NPI Registration & Enumeration September 16, 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: 1801992516

Entity Type:

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

Enumeration Date: September 16, 2006

Last Update: March 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 N Wall St, Suite 402

Kankakee, IL 609012940

Phone: 8159327200

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

⚠️ Medical Disclaimer

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