Medicare Enrolled
Dr. Jean Benoit Houle, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · Mount Vernon, IL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Houle from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Houle?
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What this data tells you about Dr. Houle
Dr. Jean Benoit Houle is a sports medicine physician in Mount Vernon, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Houle performed 30,523 Medicare services across 3,670 unique beneficiaries.
Between the years covered by Open Payments, Dr. Houle received a total of $520 from 12 pharmaceutical and/or device companies across 32 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (orthopaedic surgery) physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Houle is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 2% volume in IL
$520 industry payments
Medicare Practice Summary
Medicare Utilization ↗30,523
Medicare services
Top 2% in IL for sports medicine (orthopaedic surgery) physician
3,670
Unique beneficiaries
$21
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,526 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Extended-release steroid injection (Zilretta) An injection of triamcinolone acetonide using a preservative-free, extended-release microsphere formulation. The dosage is measured in milligrams. |
18,240 | $13 | $26 |
| Joint lubricant injection (Synvisc) | 3,872 | $7 | $21 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
2,962 | $1 | $23 |
| MRI contrast dye injection (gadobutrol) | 1,200 | $0 | $1 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
947 | $54 | $498 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
562 | $62 | $220 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
510 | $30 | $252 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
492 | $41 | $188 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
284 | $30 | $244 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
277 | $26 | $223 |
| Bone density scan (DEXA) of hip, pelvis, and spine This test measures bone density in the hip, pelvis, and spine to assess bone strength. It also includes an assessment for spine fractures. |
144 | $49 | $403 |
| Total knee replacement | 125 | $1,020 | $9,000 |
| Trabecular bone score calculation This procedure calculates the trabecular bone score using imaging data to assess bone microarchitecture. It includes interpretation and a report on fracture risk. |
125 | $26 | $112 |
| Computer-assisted surgery for muscle and bone procedure A surgical procedure involving muscles or bones that utilizes computer technology to assist with planning or execution. |
123 | $116 | $750 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
83 | $79 | $303 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
60 | $16 | $218 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
55 | $48 | $235 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
52 | $77 | $1,200 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
44 | $65 | $1,110 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
42 | $1,014 | $7,800 |
| X-ray of lower and sacral spine, minimum 6 views An X-ray imaging test that captures at least six views of the lower back and sacral spine to evaluate bone structure and alignment. |
39 | $31 | $377 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
38 | $22 | $206 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
34 | $35 | $261 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
33 | $18 | $207 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
31 | $40 | $241 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
29 | $64 | $317 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
24 | $71 | $1,106 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
23 | $82 | $287 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
21 | $21 | $227 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
21 | $63 | $276 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
19 | $21 | $197 |
| Surgical repair of broken thigh bone with implant A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone. |
12 | $982 | $5,800 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.0% high complexity
89.6% medium
9.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$520
Total received (2018-2024)
Avg $74/year across 7 years
Bottom 15% in IL for sports medicine (orthopaedic surgery) physician
12
Companies
32
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$520 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$66
2023
$111
2022
$27
2021
$120
2020
$18
2019
$115
2018
$64
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$51
Molnlycke Health Care US, LLC
$15
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$159
Flexion Therapeutics, Inc.
$104
Pacira Therapeutics, Inc.
$54
Orthofix Medical, Inc.
$45
SANOFI-AVENTIS U.S. LLC
$28
Pacira Pharmaceuticals Incorporated
$27
Bioventus LLC
$27
Stryker Corporation
$25
Molnlycke Health Care US, LLC
$15
Ferring Pharmaceuticals Inc.
$13
Vericel Corporation
$12
Horizon Therapeutics plc
$11
Top 3 companies account for 61.0% of all-time payments
Associated products mentioned in payments ›
DUEXIS · EUFLEXXA · EVENITY · Exogen · Iovera · MACI · Mepilex Border Post-Op Ag · Physio-Stim · SYNVISC-ONE · TRIATHLON · Zilretta
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Sports medicine physicians within 10 mi
1
Per 100K population
2.7
County median income
$61,102
Nearest hospital
GOOD SAMARITAN REGIONAL HLTH CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Houle is a mixed practice specialist, with above-average Medicare volume (top 2% in IL), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Houle experienced with extended-release steroid injection (zilretta)?
Based on Medicare claims data, Dr. Houle performed 18,240 extended-release steroid injection (zilretta) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Houle receive payments from pharmaceutical companies?
Yes. Dr. Houle received a total of $520 from 12 companies across 32 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Houle's costs compare to other sports medicine physicians in Mount Vernon?
Dr. Houle's average Medicare payment per service is $21. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Houle) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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