Active NPI 1790737021 Individual Practitioner Male Practitioner

Dr. Daniel Anthony Troy , MD

Orthopaedic Surgery • Oak Lawn, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Troy, MD is a certified Orthopaedic Surgery practicing in Oak Lawn, IL. With approximately 31 years of clinical experience since graduating from Rush Medical College Of Rush University in 1995, Dr. Troy delivers high-quality medical care to the local community at 6701 W 95TH ST.

Dr. Troy is affiliated with Advanced Orthopedic And Spine Care Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6701 W 95th St

Oak Lawn, IL 604532105

Telephone 7085995000

Fax 7085995000

Associated Practice Facility / Clinic

🏢 Advanced Orthopedic & Spine Care Facility NPI 1295138527

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Oak Lawn, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +9.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

9 Specialists

Practicing in Oak Lawn, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Troy (31 Years) 31 Yrs

Oak Lawn Specialty Average (21.8 Years) 21.8 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
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	6,078	324	$104.00	$23.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,567	435	$10.00	$0.95
20610 Aspiration and/or injection of fluid from large joint	1,193	345	$393.65	$71.12
77002 Fluoroscopic guidance for needle placement	1,114	309	$742.00	$116.73
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,085	126	$102.00	$31.08
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	895	176	$10.00	$0.14
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	821	138	$710.00	$72.48
99213 Established patient office or other outpatient visit, typically 15 minutes	760	496	$185.00	$93.34
97140 Therapy procedure using manual technique, each 15 minutes	428	91	$92.00	$20.07
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	370	28	$50.00	$1.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	248	$275.00	$131.11
72170 X-ray of pelvis, 1-2 views	305	294	$290.00	$28.16
73560 X-ray of knee, 1-2 views	296	187	$273.00	$34.51
72110 X-ray of lower and sacral spine, minimum of 4 views	279	273	$482.00	$51.91
97161 Evaluation of physical therapy, typically 20 minutes	261	238	$230.00	$100.26
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	229	143	$10.00	$1.41
72148 MRI scan of lower spinal canal	206	198	$2430.00	$197.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	173	115	$143.00	$58.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$281.00	$116.16
73502 X-ray of hip, 2-3 views	134	98	$364.00	$48.36
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	134	32	$78.00	$8.90
73030 X-ray of shoulder, minimum of 2 views	124	78	$161.00	$35.04
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	121	80	$2505.00	$288.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	115	109	$406.00	$135.69
20552 Injections of trigger points in 1 or 2 muscles	110	89	$307.00	$46.30
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	94	73	$2505.00	$137.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$412.00	$174.35
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	76	49	$2400.00	$106.20
73721 Mri scan of leg joint without contrast	74	67	$1952.00	$208.83
72050 X-ray of upper spine, 4 or 5 views	71	71	$455.00	$53.83
73050 X-ray of both collar bones joints	70	64	$143.00	$29.58
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	60	37	$1400.00	$57.29
72100 X-ray of lower and sacral spine, 2-3 views	60	49	$187.00	$39.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	47	$100.00	$55.00
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	56	41	$1331.00	$114.29
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	55	40	$2443.64	$223.71
72141 MRI scan of upper spinal canal	50	50	$2428.00	$195.02
73221 Mri scan of arm joint without contrast	48	40	$1824.00	$208.47
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	47	34	$1400.00	$110.92
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	46	20	$822.96	$108.83
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	42	36	$4591.00	$532.36
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	41	33	$1331.00	$51.85
72146 Mri scan of middle spinal canal	38	36	$2576.00	$187.93
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	35	31	$1760.00	$281.99
72070 X-ray of middle spine, 2 views	35	30	$182.00	$33.56
73110 X-ray of wrist, minimum of 3 views	33	24	$269.00	$41.89
27245 Treatment of broken neck of thigh bone with bone implant	33	33	$8993.00	$1345.90
73552 X-ray of thigh bone, minimum 2 views	31	19	$286.00	$36.31
97162 Evaluation for physical therapy, typically 30 minutes	27	27	$240.00	$101.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$163.00	$51.55
73130 X-ray of hand, minimum of 3 views	22	18	$120.00	$37.95
27447 Replacement of knee joint, both sides of knee	18	18	$13223.00	$1406.35
20605 Aspiration and/or injection of medium joint or joint capsule	16	13	$280.00	$52.57
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$8176.00	$1268.97
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$27882.00	$1408.49
20600 Aspiration and/or injection of fluid from small joint	15	13	$293.53	$58.65
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	15	11	$1879.00	$119.17
73080 X-ray of elbow, minimum of 3 views	14	12	$133.00	$33.53
20553 Injection of trigger points, 3 or more muscles	13	13	$362.00	$56.20
72158 Mri scan of lower spinal canal before and after contrast	12	11	$3356.00	$289.23
70551 Mri scan of brain without contrast	11	11	$2163.00	$198.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	5,964	297	$104.00	$23.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	5,274	527	$10.00	$1.06
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	2,025	366	$10.00	$1.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,762	796	$185.00	$93.59
20610 Aspiration and/or injection of fluid from large joint	1,384	423	$376.00	$72.32
77002 Fluoroscopic guidance for needle placement	1,248	358	$742.00	$109.21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,210	136	$102.00	$31.75
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	850	151	$710.00	$73.63
73560 X-ray of knee, 1-2 views	462	266	$273.00	$35.78
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	443	37	$50.00	$1.54
97140 Therapy procedure using manual technique, each 15 minutes	402	82	$92.00	$20.64
72170 X-ray of pelvis, 1-2 views	388	355	$290.00	$29.27
72110 X-ray of lower and sacral spine, minimum of 4 views	374	352	$482.00	$53.27
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	348	127	$10.00	$0.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	261	$275.00	$132.72
73502 X-ray of hip, 2-3 views	299	155	$364.00	$48.73
73030 X-ray of shoulder, minimum of 2 views	260	164	$161.00	$36.30
97161 Evaluation of physical therapy, typically 20 minutes	244	218	$230.00	$103.43
20552 Injections of trigger points in 1 or 2 muscles	202	148	$307.00	$50.46
72148 MRI scan of lower spinal canal	191	187	$2430.00	$201.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	168	168	$281.00	$116.96
73050 X-ray of both collar bones joints	164	146	$143.00	$30.11
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	143	38	$78.00	$9.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	123	123	$406.00	$136.69
72050 X-ray of upper spine, 4 or 5 views	121	117	$455.00	$54.24
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	106	85	$2505.00	$134.37
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	92	65	$2505.00	$302.35
73110 X-ray of wrist, minimum of 3 views	87	46	$269.00	$42.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$412.00	$173.13
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	76	24	$744.00	$111.59
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	71	47	$2400.00	$117.83
73721 Mri scan of leg joint without contrast	67	58	$1952.00	$215.79
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	62	46	$2400.00	$237.89
72100 X-ray of lower and sacral spine, 2-3 views	62	39	$185.11	$41.80
73552 X-ray of thigh bone, minimum 2 views	55	27	$286.00	$37.34
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	53	40	$1400.00	$120.41
72141 MRI scan of upper spinal canal	52	52	$2428.00	$201.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	44	$143.00	$58.78
73080 X-ray of elbow, minimum of 3 views	50	29	$133.00	$33.69
20553 Injection of trigger points, 3 or more muscles	48	40	$362.00	$65.50
73221 Mri scan of arm joint without contrast	48	43	$1824.00	$212.56
82962 Blood glucose (sugar) test performed by hand-held instrument	45	38	$70.00	$3.21
99442 Telephone medical discussion with physician, 11-20 minutes	44	42	$183.09	$69.17
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	44	29	$1400.00	$58.89
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	44	34	$1331.00	$119.96
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	42	35	$1331.00	$53.47
73130 X-ray of hand, minimum of 3 views	39	27	$120.00	$38.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	35	$100.00	$54.07
72070 X-ray of middle spine, 2 views	37	34	$182.00	$34.55
97162 Evaluation for physical therapy, typically 30 minutes	32	32	$240.00	$103.42
72146 Mri scan of middle spinal canal	28	24	$2576.00	$187.89
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	27	17	$1879.00	$131.80
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	26	21	$4591.00	$532.88
27447 Replacement of knee joint, both sides of knee	25	24	$13223.00	$1424.89
73060 X-ray of upper arm, minimum of 2 views	24	12	$191.46	$33.89
27245 Treatment of broken neck of thigh bone with bone implant	23	23	$8993.00	$1351.76
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	22	14	$1080.00	$71.82
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	22	17	$1760.00	$286.54
20605 Aspiration and/or injection of medium joint or joint capsule	21	17	$280.00	$53.69
20551 Injection into tendon at attachment to bone or muscle	21	16	$280.00	$44.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$163.00	$52.51
73222 Mri scan of arm joint with contrast	18	14	$2100.00	$317.96
23350 Injection of dye for X-ray imaging of shoulder joint	17	14	$758.00	$169.55
27130 Replacement of thigh bone and hip joint with prosthesis	16	15	$27882.00	$1423.68
72080 X-ray of middle and lower spine, 2 views	16	13	$199.00	$36.26
73610 X-ray of ankle, minimum of 3 views	16	13	$131.00	$38.71
77073 Imaging for bone length assessment	14	14	$244.00	$43.83
20550 Injection into tendon or ligament	13	11	$289.00	$54.87
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$8176.00	$1312.14
72158 Mri scan of lower spinal canal before and after contrast	11	11	$3356.00	$336.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	6,161	313	$104.00	$23.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,897	499	$10.00	$1.14
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,829	194	$102.00	$32.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,564	771	$185.00	$96.07
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,438	285	$10.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	1,114	389	$376.00	$72.01
77002 Fluoroscopic guidance for needle placement	926	307	$742.00	$120.02
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	524	105	$710.00	$75.24
97140 Therapy procedure using manual technique, each 15 minutes	401	92	$92.00	$21.06
73560 X-ray of knee, 1-2 views	369	217	$273.00	$36.71
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	366	24	$50.00	$1.55
72170 X-ray of pelvis, 1-2 views	363	350	$290.00	$29.82
72110 X-ray of lower and sacral spine, minimum of 4 views	359	349	$482.00	$54.41
97161 Evaluation of physical therapy, typically 20 minutes	267	241	$230.00	$104.45
73502 X-ray of hip, 2-3 views	218	132	$364.00	$49.62
72148 MRI scan of lower spinal canal	202	197	$2430.00	$213.72
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	198	48	$78.00	$9.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	157	$275.00	$131.24
73030 X-ray of shoulder, minimum of 2 views	183	126	$161.00	$36.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$281.00	$120.82
20552 Injections of trigger points in 1 or 2 muscles	155	129	$307.00	$54.20
73050 X-ray of both collar bones joints	133	118	$143.00	$30.52
72050 X-ray of upper spine, 4 or 5 views	113	110	$455.00	$56.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99	97	$406.00	$142.94
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	92	78	$2505.00	$138.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$412.00	$174.91
73721 Mri scan of leg joint without contrast	71	69	$1952.00	$225.97
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	64	57	$2505.00	$332.95
73110 X-ray of wrist, minimum of 3 views	63	28	$269.00	$43.93
72141 MRI scan of upper spinal canal	59	58	$2428.00	$213.48
73221 Mri scan of arm joint without contrast	56	47	$1824.00	$217.55
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	55	15	$350.00	$130.46
72100 X-ray of lower and sacral spine, 2-3 views	51	31	$148.76	$42.83
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	47	37	$2400.00	$241.33
72070 X-ray of middle spine, 2 views	43	37	$158.56	$34.70
97162 Evaluation for physical therapy, typically 30 minutes	42	41	$240.00	$106.47
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	42	19	$1760.00	$279.50
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	41	32	$1400.00	$124.81
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	41	37	$2400.00	$128.19
73552 X-ray of thigh bone, minimum 2 views	38	23	$286.00	$37.82
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	35	29	$1331.00	$54.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	34	$100.00	$54.58
73130 X-ray of hand, minimum of 3 views	34	23	$120.00	$39.31
72146 Mri scan of middle spinal canal	33	30	$2576.00	$201.23
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	32	14	$744.00	$112.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$143.00	$58.74
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	27	20	$4591.00	$519.33
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	27	25	$1400.00	$69.17
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	27	25	$1331.00	$122.48
73610 X-ray of ankle, minimum of 3 views	26	18	$131.00	$39.66
20553 Injection of trigger points, 3 or more muscles	26	24	$362.00	$64.82
73080 X-ray of elbow, minimum of 3 views	25	18	$133.00	$35.09
27245 Treatment of broken neck of thigh bone with bone implant	23	23	$8993.00	$1379.42
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$27882.00	$1384.43
27447 Replacement of knee joint, both sides of knee	19	18	$13223.00	$1438.65
72040 X-ray of upper spine, 2-3 views	19	13	$187.00	$42.50
73630 X-ray of foot, minimum of 3 views	18	11	$131.00	$37.12
82962 Blood glucose (sugar) test performed by hand-held instrument	17	14	$70.00	$3.24
73222 Mri scan of arm joint with contrast	16	13	$2100.00	$340.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$163.00	$40.91
72158 Mri scan of lower spinal canal before and after contrast	14	13	$3356.00	$342.32
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$8176.00	$1348.36
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$280.00	$57.61
20550 Injection into tendon or ligament	12	11	$289.00	$57.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$84.00	$24.45
23350 Injection of dye for X-ray imaging of shoulder joint	11	11	$758.00	$182.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	6,704	380	$103.97	$25.21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,632	272	$102.00	$35.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,403	353	$10.00	$1.25
20610 Aspiration and/or injection of fluid from large joint	1,037	333	$378.54	$71.67
77002 Fluoroscopic guidance for needle placement	958	296	$742.00	$124.30
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	890	255	$10.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	884	567	$185.00	$97.28
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	742	147	$587.88	$75.48
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	423	85	$78.00	$10.43
97140 Therapy procedure using manual technique, each 15 minutes	347	91	$92.00	$22.99
72110 X-ray of lower and sacral spine, minimum of 4 views	293	288	$482.00	$53.60
72170 X-ray of pelvis, 1-2 views	285	281	$290.00	$29.54
73560 X-ray of knee, 1-2 views	227	147	$273.00	$35.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	225	225	$281.00	$120.52
72148 MRI scan of lower spinal canal	214	208	$2430.00	$222.55
97162 Evaluation for physical therapy, typically 30 minutes	171	162	$243.86	$105.32
97161 Evaluation of physical therapy, typically 20 minutes	166	159	$229.43	$104.37
73030 X-ray of shoulder, minimum of 2 views	140	107	$161.00	$36.45
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	115	95	$2548.57	$141.13
73502 X-ray of hip, 2-3 views	114	79	$364.00	$49.43
73050 X-ray of both collar bones joints	101	99	$143.00	$30.18
72050 X-ray of upper spine, 4 or 5 views	93	90	$455.00	$55.46
97035 Application of ultrasound, each 15 minutes	84	17	$66.00	$11.70
73221 Mri scan of arm joint without contrast	77	66	$1824.00	$231.84
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	73	55	$2505.00	$323.32
73721 Mri scan of leg joint without contrast	59	55	$1952.00	$235.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	57	48	$84.00	$24.12
20552 Injections of trigger points in 1 or 2 muscles	55	50	$307.00	$53.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	53	$275.00	$138.80
72141 MRI scan of upper spinal canal	52	51	$2428.00	$211.51
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	46	33	$2504.35	$136.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	43	$406.00	$145.13
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	44	32	$1331.00	$136.78
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	44	31	$1431.82	$77.63
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	42	19	$744.00	$108.70
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	42	38	$1331.00	$55.91
72100 X-ray of lower and sacral spine, 2-3 views	34	31	$148.00	$42.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$143.00	$60.02
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	30	24	$2640.00	$268.14
73130 X-ray of hand, minimum of 3 views	28	20	$120.00	$37.61
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	27	21	$1607.41	$138.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	27	$100.00	$56.39
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	24	12	$1760.00	$205.63
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$27882.00	$1466.35
27447 Replacement of knee joint, both sides of knee	23	22	$13223.00	$1367.99
20553 Injection of trigger points, 3 or more muscles	23	19	$362.00	$65.07
72146 Mri scan of middle spinal canal	22	22	$2576.00	$196.85
73110 X-ray of wrist, minimum of 3 views	22	16	$269.00	$43.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$412.00	$181.05
20605 Aspiration and/or injection of medium joint or joint capsule	21	17	$280.00	$53.72
27093 Injection of dye for X-ray imaging of hip joint	18	17	$1451.00	$259.00
72070 X-ray of middle spine, 2 views	18	18	$158.00	$34.95
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	16	12	$4591.00	$515.79
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$22609.00	$1251.26
63048 Partial removal of spine bone with release of spinal cord and/or nerves	14	13	$7333.00	$249.86
20939 Harvest of bone marrow for spine surgery graft	13	13	$1345.00	$75.67
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	12	12	$30700.00	$7120.95
97163 Evaluation for physical therapy, typically 45 minutes	12	12	$246.50	$106.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	5,294	348	$103.96	$25.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,153	352	$10.00	$1.45
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,086	274	$102.00	$36.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,042	611	$185.09	$79.64
20610 Aspiration and/or injection of fluid from large joint	1,029	368	$393.15	$69.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	925	304	$10.00	$0.11
77002 Fluoroscopic guidance for needle placement	923	327	$763.71	$113.73
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	672	150	$300.00	$79.55
72170 X-ray of pelvis, 1-2 views	455	416	$290.00	$27.10
72110 X-ray of lower and sacral spine, minimum of 4 views	398	375	$482.00	$47.43
73560 X-ray of knee, 1-2 views	338	256	$322.27	$35.86
97140 Therapy procedure using manual technique, each 15 minutes	332	83	$92.00	$23.67
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	283	60	$78.00	$10.95
73502 X-ray of hip, 2-3 views	260	173	$372.40	$40.37
73030 X-ray of shoulder, minimum of 2 views	233	177	$171.36	$31.30
72148 MRI scan of lower spinal canal	220	211	$2430.00	$225.10
97161 Evaluation of physical therapy, typically 20 minutes	210	194	$228.00	$90.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	201	201	$281.00	$114.92
73050 X-ray of both collar bones joints	188	166	$143.00	$28.89
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	158	104	$3285.03	$297.15
72050 X-ray of upper spine, 4 or 5 views	140	131	$455.00	$48.88
73630 X-ray of foot, minimum of 3 views	97	52	$133.70	$26.02
73610 X-ray of ankle, minimum of 3 views	96	59	$132.36	$28.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	96	78	$84.00	$24.49
97035 Application of ultrasound, each 15 minutes	86	25	$66.00	$11.80
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	77	60	$1486.57	$120.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	69	$143.00	$48.76
73110 X-ray of wrist, minimum of 3 views	74	38	$276.27	$35.53
73564 X-ray of knee, 4 or more views	74	74	$517.91	$46.17
73221 Mri scan of arm joint without contrast	71	59	$1824.00	$241.23
73721 Mri scan of leg joint without contrast	71	68	$1979.49	$241.40
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	70	54	$3114.64	$143.54
72141 MRI scan of upper spinal canal	65	64	$2428.00	$226.32
20552 Injections of trigger points in 1 or 2 muscles	58	51	$312.29	$57.01
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	57	16	$50.00	$1.54
97162 Evaluation for physical therapy, typically 30 minutes	55	53	$250.00	$90.47
72100 X-ray of lower and sacral spine, 2-3 views	46	35	$148.00	$35.27
72070 X-ray of middle spine, 2 views	45	41	$158.00	$30.97
73130 X-ray of hand, minimum of 3 views	44	41	$136.36	$36.46
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	41	15	$744.00	$102.73
72146 Mri scan of middle spinal canal	40	38	$2576.00	$215.45
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	37	30	$3956.76	$247.54
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	37	30	$2345.95	$127.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$278.03	$116.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$406.00	$148.70
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	24	21	$2041.67	$69.12
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	24	21	$3400.00	$119.61
20550 Injection into tendon or ligament	23	20	$301.57	$56.17
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	23	19	$1300.70	$123.61
73080 X-ray of elbow, minimum of 3 views	23	21	$138.78	$25.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$498.00	$218.61
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	21	19	$1394.38	$60.57
73552 X-ray of thigh bone, minimum 2 views	21	18	$286.00	$29.08
73590 X-ray of lower leg, 2 views	20	15	$284.55	$28.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$100.00	$56.70
76000 Imaging guidance for procedure, 60 minutes or less	17	15	$180.00	$16.97
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$22421.50	$1142.51
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	13	12	$894.92	$59.35
73562 X-ray of knee, 3 views	13	13	$168.46	$36.90
70551 Mri scan of brain without contrast	13	13	$2163.00	$235.92
20553 Injection of trigger points, 3 or more muscles	12	12	$362.00	$69.75
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$223.00	$81.92
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	12	11	$30700.00	$7077.41
23600 Closed treatment of broken top of upper arm bone	11	11	$1280.00	$366.14
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$27882.00	$1557.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	4,343	375	$103.93	$25.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,492	375	$10.00	$1.59
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,209	294	$102.00	$33.48
99213 Established patient office or other outpatient visit, typically 15 minutes	1,121	633	$185.34	$78.09
97530 Therapy procedure using functional activities	1,031	176	$88.00	$41.39
20610 Aspiration and/or injection of fluid from large joint	980	343	$382.14	$66.08
77002 Fluoroscopic guidance for needle placement	818	268	$747.44	$92.93
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	753	167	$300.00	$78.58
97140 Therapy procedure using manual technique, each 15 minutes	607	138	$92.00	$22.74
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	564	188	$10.00	$0.12
72170 X-ray of pelvis, 1-2 views	505	457	$290.00	$32.24
72110 X-ray of lower and sacral spine, minimum of 4 views	469	426	$482.00	$49.66
73560 X-ray of knee, 1-2 views	425	292	$303.68	$34.27
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	276	59	$78.00	$10.88
73502 X-ray of hip, 2-3 views	258	145	$364.00	$37.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	241	210	$143.00	$47.86
72148 MRI scan of lower spinal canal	212	205	$2430.00	$229.43
73030 X-ray of shoulder, minimum of 2 views	211	155	$166.34	$27.39
97161 Evaluation of physical therapy, typically 20 minutes	206	184	$228.00	$88.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	203	203	$281.00	$116.02
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	185	75	$748.02	$99.58
73050 X-ray of both collar bones joints	175	152	$143.00	$33.62
97035 Application of ultrasound, each 15 minutes	158	34	$66.00	$11.40
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	156	115	$3340.00	$140.20
72050 X-ray of upper spine, 4 or 5 views	149	132	$455.00	$48.87
97162 Evaluation for physical therapy, typically 30 minutes	132	123	$250.00	$89.30
76000 Imaging guidance for procedure, 60 minutes or less	109	97	$184.04	$16.72
73630 X-ray of foot, minimum of 3 views	98	59	$139.02	$27.07
73610 X-ray of ankle, minimum of 3 views	85	50	$135.62	$28.45
73110 X-ray of wrist, minimum of 3 views	85	42	$278.49	$34.76
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	80	65	$3225.19	$277.53
72100 X-ray of lower and sacral spine, 2-3 views	78	56	$148.00	$32.99
73564 X-ray of knee, 4 or more views	75	75	$482.09	$42.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	73	$406.00	$147.09
73721 Mri scan of leg joint without contrast	63	59	$1952.00	$241.69
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	62	48	$1459.81	$58.11
72141 MRI scan of upper spinal canal	50	50	$2428.00	$227.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$277.08	$113.13
73221 Mri scan of arm joint without contrast	46	39	$1824.00	$245.04
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	43	36	$4074.42	$132.25
72070 X-ray of middle spine, 2 views	42	36	$158.00	$30.16
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	41	34	$2278.05	$76.10
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	41	13	$50.00	$1.60
73130 X-ray of hand, minimum of 3 views	35	30	$133.71	$34.18
20552 Injections of trigger points in 1 or 2 muscles	34	29	$316.03	$50.41
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	32	28	$1424.53	$113.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	31	$84.00	$23.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	27	$100.00	$56.30
73080 X-ray of elbow, minimum of 3 views	28	25	$137.75	$25.56
72146 Mri scan of middle spinal canal	25	24	$2576.00	$226.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$206.00	$77.74
73590 X-ray of lower leg, 2 views	20	14	$271.00	$27.28
27447 Replacement of knee joint, both sides of knee	20	20	$13223.00	$1535.07
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$23516.05	$1305.43
73552 X-ray of thigh bone, minimum 2 views	19	12	$286.00	$27.54
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$27882.00	$1539.29
20600 Aspiration and/or injection of fluid from small joint	18	12	$259.00	$42.73
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	18	17	$1497.22	$158.16
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	14	$7441.78	$258.21
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	17	15	$3952.94	$244.05
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	17	15	$2305.88	$124.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$163.00	$42.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$412.00	$175.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	13	$4616.00	$315.87
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	15	13	$1218.80	$72.16
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$223.00	$81.25
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$280.00	$51.25
77073 Imaging for bone length assessment	12	11	$244.00	$39.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,235	415	$10.00	$1.77
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,833	304	$103.71	$25.56
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,843	238	$101.53	$31.44
97530 Therapy procedure using functional activities	1,215	166	$87.67	$41.34
99213 Established patient office or other outpatient visit, typically 15 minutes	1,019	602	$185.00	$76.13
97140 Therapy procedure using manual technique, each 15 minutes	979	173	$91.32	$22.41
20610 Aspiration and/or injection of fluid from large joint	840	309	$376.45	$63.48
77002 Fluoroscopic guidance for needle placement	752	234	$742.00	$97.58
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	652	138	$301.38	$82.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	499	370	$143.00	$45.98
72170 X-ray of pelvis, 1-2 views	459	409	$282.59	$33.38
72110 X-ray of lower and sacral spine, minimum of 4 views	386	360	$461.56	$50.77
73560 X-ray of knee, 1-2 views	374	237	$262.77	$33.92
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	353	67	$78.00	$11.34
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	287	119	$744.00	$95.62
76000 Imaging guidance for procedure, 60 minutes or less	251	178	$180.00	$9.47
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	238	100	$12.52	$0.12
97035 Application of ultrasound, each 15 minutes	190	35	$65.43	$11.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	188	188	$281.38	$114.76
73502 X-ray of hip, 2-3 views	186	107	$360.67	$43.07
72148 MRI scan of lower spinal canal	171	164	$2430.00	$232.98
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	164	122	$3406.19	$139.72
72050 X-ray of upper spine, 4 or 5 views	152	133	$425.87	$46.83
97162 Evaluation for physical therapy, typically 30 minutes	138	127	$249.64	$87.16
97161 Evaluation of physical therapy, typically 20 minutes	112	107	$227.89	$87.04
J2795 Injection, ropivacaine hydrochloride, 1 mg	109	28	$10.00	$0.08
73030 X-ray of shoulder, minimum of 2 views	105	87	$165.60	$31.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	90	81	$84.00	$22.49
73050 X-ray of both collar bones joints	86	79	$143.00	$37.45
73721 Mri scan of leg joint without contrast	65	63	$1952.00	$245.46
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	63	55	$3340.00	$267.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	60	$275.00	$113.12
72100 X-ray of lower and sacral spine, 2-3 views	61	45	$148.00	$36.71
72141 MRI scan of upper spinal canal	60	58	$2428.00	$232.57
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	56	14	$50.00	$1.64
73221 Mri scan of arm joint without contrast	49	41	$1824.00	$244.81
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	48	42	$1358.73	$56.05
73110 X-ray of wrist, minimum of 3 views	46	33	$270.35	$39.14
20600 Aspiration and/or injection of fluid from small joint	45	23	$259.00	$39.50
72040 X-ray of upper spine, 2-3 views	44	19	$187.00	$34.87
73610 X-ray of ankle, minimum of 3 views	43	26	$131.00	$33.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$406.00	$145.98
72070 X-ray of middle spine, 2 views	39	35	$158.00	$35.62
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	38	33	$3789.47	$119.05
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	36	31	$2216.67	$70.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	27	$163.00	$41.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$412.00	$175.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	27	$100.00	$56.64
99238 Hospital discharge day management, 30 minutes or less	27	27	$229.00	$77.48
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	25	22	$1225.00	$146.59
27095 Injection of contrast for imaging of hip under anesthesia	23	21	$1548.00	$261.40
73130 X-ray of hand, minimum of 3 views	23	17	$135.65	$37.80
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$301.00	$109.35
72146 Mri scan of middle spinal canal	21	20	$2576.00	$235.48
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	21	20	$1457.76	$102.22
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	11	$7333.00	$255.99
27447 Replacement of knee joint, both sides of knee	20	18	$13520.50	$1466.46
77075 X-ray survey of forearm or wrist bone density	18	16	$582.00	$91.24
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$223.00	$79.32
20605 Aspiration and/or injection of medium joint or joint capsule	18	15	$280.00	$48.59
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$27882.00	$1541.53
73552 X-ray of thigh bone, minimum 2 views	17	15	$286.00	$34.53
73630 X-ray of foot, minimum of 3 views	17	12	$131.00	$30.88
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	15	15	$3520.00	$223.79
20939 Harvest of bone marrow for spine surgery graft	14	14	$930.71	$75.98
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	14	14	$2100.00	$114.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$206.00	$77.33
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	13	12	$1150.62	$65.73
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$22609.00	$1186.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,724	281	$93.48	$27.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,978	335	$10.04	$1.79
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,470	216	$83.32	$30.53
97530 Therapy procedure using functional activities	1,331	182	$74.65	$35.90
97140 Therapy procedure using manual technique, each 15 minutes	1,328	196	$74.32	$23.58
77002 Fluoroscopic guidance for needle placement	1,049	310	$575.87	$96.06
99213 Established patient office or other outpatient visit, typically 15 minutes	822	529	$175.65	$76.58
20610 Aspiration and/or injection of fluid from large joint	772	294	$364.91	$63.85
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	584	143	$300.00	$83.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	541	401	$137.18	$45.55
73560 X-ray of knee, 1-2 views	517	297	$137.79	$32.19
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	373	65	$78.00	$10.78
72110 X-ray of lower and sacral spine, minimum of 4 views	350	334	$241.54	$50.91
72170 X-ray of pelvis, 1-2 views	345	338	$176.05	$33.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	230	230	$273.51	$114.87
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	196	144	$3272.30	$136.67
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	186	102	$531.16	$97.37
73502 X-ray of hip, 2-3 views	168	94	$336.51	$43.34
97035 Application of ultrasound, each 15 minutes	152	30	$55.36	$10.54
97162 Evaluation for physical therapy, typically 30 minutes	144	132	$225.00	$85.80
72050 X-ray of upper spine, 4 or 5 views	130	110	$229.82	$47.62
97161 Evaluation of physical therapy, typically 20 minutes	128	119	$225.00	$85.79
73030 X-ray of shoulder, minimum of 2 views	119	85	$175.73	$31.07
72148 MRI scan of lower spinal canal	119	117	$2739.71	$226.46
73050 X-ray of both collar bones joints	83	79	$161.12	$37.14
73721 Mri scan of leg joint without contrast	69	62	$2035.04	$244.35
20551 Injection into tendon at attachment to bone or muscle	65	58	$298.28	$58.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	56	$312.76	$110.89
72100 X-ray of lower and sacral spine, 2-3 views	59	46	$166.71	$36.71
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$212.96	$79.11
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	55	11	$15.82	$1.73
73610 X-ray of ankle, minimum of 3 views	54	35	$142.48	$32.58
72141 MRI scan of upper spinal canal	47	46	$2915.19	$224.43
73110 X-ray of wrist, minimum of 3 views	45	20	$129.93	$37.14
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	45	37	$2410.82	$123.96
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	44	38	$1361.25	$56.13
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	42	35	$1413.71	$71.60
73130 X-ray of hand, minimum of 3 views	42	23	$126.36	$33.11
27447 Replacement of knee joint, both sides of knee	42	41	$14019.69	$1543.27
72040 X-ray of upper spine, 2-3 views	38	20	$197.82	$34.51
22614 Fusion of additional segment of spine	37	13	$7600.27	$385.94
72070 X-ray of middle spine, 2 views	36	31	$158.00	$35.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	33	$101.00	$21.03
63048 Partial removal of spine bone with release of spinal cord and/or nerves	34	14	$7154.18	$229.75
76000 Imaging guidance for procedure, 60 minutes or less	32	31	$180.00	$9.54
72275 Radiological supervision and interpretation x-ray of covering of spinal cord	32	31	$997.84	$40.94
77075 X-ray survey of forearm or wrist bone density	31	31	$590.32	$90.88
73221 Mri scan of arm joint without contrast	29	27	$1824.00	$244.19
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	16	$4616.00	$286.48
72146 Mri scan of middle spinal canal	26	26	$3008.96	$226.39
73552 X-ray of thigh bone, minimum 2 views	26	18	$263.88	$34.19
20605 Aspiration and/or injection of medium joint or joint capsule	22	20	$314.55	$46.09
73630 X-ray of foot, minimum of 3 views	22	19	$131.00	$30.58
38220 Aspiration of bone marrow sample for diagnosis	22	22	$500.00	$35.84
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$29003.90	$1546.52
20600 Aspiration and/or injection of fluid from small joint	20	16	$290.20	$46.44
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	18	16	$1246.50	$70.55
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	16	15	$3324.38	$257.72
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$301.00	$109.66
73080 X-ray of elbow, minimum of 3 views	14	13	$133.00	$32.75
73501 X-ray of hip with pelvis, 1 view	14	13	$245.93	$31.24
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$15182.15	$858.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$95.38	$56.70
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	11	$21047.00	$953.75
73525 Review by radiologist of hip joint image	11	11	$141.36	$30.54
27095 Injection of contrast for imaging of hip under anesthesia	11	11	$1724.36	$91.42
27095 Injection of contrast for imaging of hip under anesthesia	11	11	$1903.82	$228.65

Medical Specialties & State Licenses

CMS Verified: 2021-10-11

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036-096753

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.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License IL 036-096753

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036096753 (IL)

Commercial Insurance / Payer ID Railroad Medicare Provider Number

200040776 (IL)

Hospital & Practice Group Affiliations

Advanced Orthopedic And Spine Care Sc

6701 W 95th St, Oak Lawn, IL 604532105

Phone: 7085995000

Practice Associates & Co-Workers

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

13 Associated Practitioners

Robert Philipps , BSPT

Physical Therapist

NPI 1013453463

Hannah Henrichsen , PA-C

Physician Assistant

NPI 1104544022

Physician Assistant (Certified)

Amanie Kahok , APRN

Nurse Practitioner

NPI 1174493597

Advanced Practice Registered Nurse

Dr. Dana Berns , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1174904494

Doctor of Podiatric Medicine

Dr. Jose Perez-Sanz , MD

Orthopaedic Surgery

NPI 1205880317

Doctor of Medicine (M.D.)

Elizabeth Kaufmann-Reed

Physician Assistant

NPI 1306942636

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2021

Orthopaedic Surgery (License #036-096753 in IL)

✅

NPI Profile Active December 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2012

Registered at 6701 W 95TH ST, OAK LAWN, IL 604532105 (Tel: 7085995000)

📍

Updated Business Mailing Address December 21, 2012

Registered at PO BOX 1844, BRIDGEVIEW, IL 604550844 (Tel: 7085995000)

👤

Provider Name / Credentials Updated December 21, 2012

Recorded as DANIEL TROY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2012

Orthopaedic Surgery (License #036-096753 in IL)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1790737021

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: October 11, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1844

Bridgeview, IL 604550844

Phone: 7085995000

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.