Active NPI 1013913573 Individual Practitioner Male Practitioner

Dr. Michael J Hejna , MD, PhD

Orthopaedic Surgery • Riverside, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Hejna, MD, PhD is a certified Orthopaedic Surgery practicing in Riverside, IL. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Hejna delivers high-quality medical care to the local community at 353 E BURLINGTON ST.

Dr. Hejna is affiliated with Midland Orthopedic Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, 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

353 E Burlington St
Ste 100

Riverside, IL 605462082

Telephone 7084420221

Fax 7084425670

Associated Practice Facility / Clinic

🏢 Orthopaedic Associates Of Riverside, Pllc Facility NPI 1952469454

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Riverside, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +1.3 yrs vs City Avg

City Avg: 34.7 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Riverside, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hejna (36 Years) 36 Yrs

Riverside Specialty Average (34.7 Years) 34.7 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,067	131	$22.50	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	407	230	$157.17	$93.68
20610 Aspiration and/or injection of fluid from large joint	251	141	$285.16	$78.16
73562 X-ray of knee, 3 views	242	144	$147.46	$41.70
73502 X-ray of hip, 2-3 views	61	43	$164.34	$48.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	46	$245.40	$132.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$270.69	$174.20
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	47	25	$3821.28	$675.11
73030 X-ray of shoulder, minimum of 2 views	44	35	$166.61	$35.65
72100 X-ray of lower and sacral spine, 2-3 views	43	42	$171.74	$40.59
27447 Replacement of knee joint, both sides of knee	32	31	$8817.11	$1401.43
72170 X-ray of pelvis, 1-2 views	26	26	$142.85	$28.58
20985 Computer-assisted surgery for muscle and bone procedure	21	21	$709.05	$158.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$276.47	$116.52
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$9004.55	$1411.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,338	155	$25.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	530	279	$150.00	$91.47
20610 Aspiration and/or injection of fluid from large joint	304	164	$286.43	$75.70
73562 X-ray of knee, 3 views	281	168	$160.00	$41.31
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	239	11	$76.00	$24.67
97140 Therapy procedure using manual technique, each 15 minutes	129	11	$68.00	$20.71
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	98	42	$150.00	$52.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$300.00	$115.53
73502 X-ray of hip, 2-3 views	73	55	$175.00	$47.00
73030 X-ray of shoulder, minimum of 2 views	62	46	$183.00	$35.27
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	59	31	$4000.00	$705.41
72100 X-ray of lower and sacral spine, 2-3 views	44	43	$185.00	$40.56
27447 Replacement of knee joint, both sides of knee	37	36	$9275.00	$1367.95
73560 X-ray of knee, 1-2 views	16	11	$154.00	$34.92
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	15	15	$750.00	$169.29
72170 X-ray of pelvis, 1-2 views	14	14	$153.00	$28.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,597	162	$25.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	547	277	$150.00	$96.14
20610 Aspiration and/or injection of fluid from large joint	320	164	$299.53	$81.08
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	294	13	$76.00	$25.47
73562 X-ray of knee, 3 views	276	176	$160.00	$43.97
97140 Therapy procedure using manual technique, each 15 minutes	142	13	$68.00	$22.35
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	71	40	$4000.00	$756.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$300.00	$120.58
73030 X-ray of shoulder, minimum of 2 views	41	35	$183.00	$37.22
73502 X-ray of hip, 2-3 views	39	33	$175.00	$50.21
27447 Replacement of knee joint, both sides of knee	30	30	$9275.00	$1444.51
73110 X-ray of wrist, minimum of 3 views	27	14	$162.00	$43.99
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$185.00	$42.76
20600 Aspiration and/or injection of fluid from small joint	17	12	$251.47	$49.43
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$300.00	$107.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$115.00	$60.63
72170 X-ray of pelvis, 1-2 views	11	11	$153.00	$29.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,677	158	$25.00	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	530	272	$150.00	$97.60
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	349	17	$76.00	$25.53
20610 Aspiration and/or injection of fluid from large joint	316	163	$296.20	$79.57
73562 X-ray of knee, 3 views	251	159	$160.00	$43.36
97140 Therapy procedure using manual technique, each 15 minutes	200	17	$68.00	$22.91
97530 Therapy procedure using functional activities	173	15	$77.00	$40.71
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	146	15	$73.00	$28.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$300.00	$121.24
73502 X-ray of hip, 2-3 views	58	48	$175.00	$49.87
73030 X-ray of shoulder, minimum of 2 views	57	46	$183.00	$36.80
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	50	36	$4080.00	$767.10
72100 X-ray of lower and sacral spine, 2-3 views	37	36	$185.00	$42.58
73110 X-ray of wrist, minimum of 3 views	33	13	$162.00	$43.37
27447 Replacement of knee joint, both sides of knee	28	28	$9275.00	$1464.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	21	$100.00	$24.12
72170 X-ray of pelvis, 1-2 views	21	18	$153.00	$29.89
20600 Aspiration and/or injection of fluid from small joint	19	14	$260.53	$50.44
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$9620.00	$1405.48
97161 Evaluation of physical therapy, typically 20 minutes	12	12	$175.00	$106.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$225.00	$138.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,376	148	$25.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	467	252	$150.00	$80.06
20610 Aspiration and/or injection of fluid from large joint	287	160	$287.72	$76.01
73562 X-ray of knee, 3 views	231	146	$160.00	$41.00
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	193	11	$76.00	$25.73
97140 Therapy procedure using manual technique, each 15 minutes	112	11	$68.00	$23.49
73502 X-ray of hip, 2-3 views	69	48	$175.00	$46.38
73030 X-ray of shoulder, minimum of 2 views	59	45	$183.00	$35.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	46	$300.00	$115.78
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	44	28	$4818.18	$744.52
27447 Replacement of knee joint, both sides of knee	29	26	$9275.00	$1562.46
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$185.00	$40.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$165.00	$77.15
72170 X-ray of pelvis, 1-2 views	18	18	$153.00	$30.39
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$300.00	$110.91
27130 Replacement of thigh bone and hip joint with prosthesis	15	14	$9620.00	$1569.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,636	171	$26.51	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	555	283	$150.00	$77.68
20610 Aspiration and/or injection of fluid from large joint	361	191	$271.75	$68.76
73562 X-ray of knee, 3 views	294	187	$160.00	$38.49
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	260	16	$76.00	$25.37
97530 Therapy procedure using functional activities	163	13	$77.00	$41.48
97140 Therapy procedure using manual technique, each 15 minutes	153	13	$68.00	$22.53
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	134	13	$73.00	$28.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$300.00	$113.44
73502 X-ray of hip, 2-3 views	80	60	$175.00	$42.68
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	58	34	$3603.45	$1151.47
73030 X-ray of shoulder, minimum of 2 views	50	42	$183.00	$30.80
27447 Replacement of knee joint, both sides of knee	37	34	$9600.86	$1562.19
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$300.00	$109.15
72170 X-ray of pelvis, 1-2 views	31	26	$153.00	$34.61
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$185.00	$36.58
73560 X-ray of knee, 1-2 views	16	12	$154.00	$33.88
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$9620.00	$1502.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,220	140	$25.00	$1.77
99213 Established patient office or other outpatient visit, typically 15 minutes	600	309	$150.00	$74.46
20610 Aspiration and/or injection of fluid from large joint	426	170	$225.00	$54.92
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	325	21	$76.00	$25.46
73562 X-ray of knee, 3 views	267	176	$160.00	$36.35
97140 Therapy procedure using manual technique, each 15 minutes	205	18	$68.00	$21.68
97530 Therapy procedure using functional activities	123	13	$77.00	$40.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$300.00	$112.01
73030 X-ray of shoulder, minimum of 2 views	74	50	$183.00	$29.76
73502 X-ray of hip, 2-3 views	66	51	$175.00	$40.65
J1040 Injection, methylprednisolone acetate, 80 mg	54	36	$36.30	$12.78
99221 Initial hospital inpatient care per day, typically 30 minutes	51	50	$300.00	$106.09
72100 X-ray of lower and sacral spine, 2-3 views	44	43	$185.00	$35.68
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	38	23	$3000.00	$790.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	18	$165.00	$75.01
27447 Replacement of knee joint, both sides of knee	30	29	$9367.75	$1491.13
72170 X-ray of pelvis, 1-2 views	23	20	$153.00	$32.53
27245 Treatment of broken neck of thigh bone with bone implant	15	14	$6159.00	$1327.38
73560 X-ray of knee, 1-2 views	14	13	$154.00	$26.79
72040 X-ray of upper spine, 2-3 views	11	11	$176.00	$34.02
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$9620.00	$1495.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	577	296	$150.00	$76.96
20610 Aspiration and/or injection of fluid from large joint	394	159	$225.00	$56.91
J1040 Injection, methylprednisolone acetate, 80 mg	309	136	$35.00	$10.93
73562 X-ray of knee, 3 views	247	159	$160.00	$37.40
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	228	12	$76.00	$26.81
97140 Therapy procedure using manual technique, each 15 minutes	107	11	$68.00	$23.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$300.00	$115.65
73502 X-ray of hip, 2-3 views	49	42	$175.00	$42.70
99221 Initial hospital inpatient care per day, typically 30 minutes	44	43	$300.00	$109.72
73030 X-ray of shoulder, minimum of 2 views	42	37	$183.00	$30.07
72100 X-ray of lower and sacral spine, 2-3 views	38	38	$185.00	$36.77
27447 Replacement of knee joint, both sides of knee	36	35	$9275.00	$1541.29
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	31	23	$3000.00	$868.01
73110 X-ray of wrist, minimum of 3 views	26	11	$162.00	$37.13
72170 X-ray of pelvis, 1-2 views	24	20	$153.00	$33.47
73560 X-ray of knee, 1-2 views	20	11	$154.00	$32.49
20610 Aspiration and/or injection of fluid from large joint	19	16	$225.00	$38.29
73501 X-ray of hip with pelvis, 1 view	13	12	$145.00	$29.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$165.00	$76.43

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036091139

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036091139 (IL)

Commercial Insurance / Payer ID Railroad Medicare

P00075953 (IL)

Commercial Insurance / Payer ID Us Department Of Labor

123175300 (IL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

01633451 (IL)

Hospital & Practice Group Affiliations

Midland Orthopedic Associates Pllc

2850 S Wabash Ave, Chicago, IL 606162491

Phone: 3128424600

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Nicolas Anderson , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1124179817

Doctor of Podiatric Medicine

Themistocles Raftis , PT

Physical Therapist

NPI 1336259068

Physical Therapist

Alan Moses , PA-C

Physician Assistant - Surgical

NPI 1417058934

Physician Assistant (Certified)

Dr. Scott Seymour , MD

Orthopaedic Surgery

NPI 1437158326

Doctor of Medicine (M.D.)

Jennifer Kang

Physician Assistant - Surgical

NPI 1912307448

Dr. Erling Ho , MD

Orthopaedic Surgery

NPI 1952381865

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 353 E BURLINGTON ST, STE 100, RIVERSIDE, IL 605462082 (Tel: 7084420221)

📍

Updated Business Mailing Address July 08, 2007

Registered at 353 E BURLINGTON ST, STE 100, RIVERSIDE, IL 605462082 (Tel: 7084420221)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL HEJNA, M.D., PHD.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #036091139 in IL)

🟢

Initial NPI Registration & Enumeration June 21, 2005

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: 1013913573

Entity Type:

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

Enumeration Date: June 21, 2005

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

353 E Burlington St, Ste 100

Riverside, IL 605462082

Phone: 7084420221

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.