Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Doherty (NPI 1043590540)

Field	Value
Entity Type	Individual
Organization	Michael Doherty
Address	1959 Ne Pacific St
City	Seattle
State	WA
ZIP	98195
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	August 28, 2011

Payer Source	Total Paid
Medicare	$102.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	190	$90	$16.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	460	$30	$13.8K
70496	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…	170	$70	$11.2K
70498	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…	150	$60	$9.5K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	140	$50	$7.7K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	150	$40	$5.5K
72156	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the cervical spinal canal and contents first without using contrast and again after injecting contrast material.	60	$80	$4.8K
72157	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents first without using contrast and again after injecting contrast material.	60	$80	$4.6K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	80	$50	$3.9K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	70	$60	$3.8K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Michael Doherty — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70553	33	220	60	$120	$11.5K
70450	56	400	150	$30	$6.8K
72148	99	300	50	$90	$6.7K
70496	31	210	50	$70	$6.3K
70551	50	240	50	$70	$6.3K
70498	37	210	60	$60	$6.1K
72141	40	200	30	$80	$3.5K
72158	20	110	20	$120	$3.2K
72125	45	340	60	$40	$2.8K
70543	17	30	20	$120	$2.6K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Doherty, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Washington	WA	General Acute Care Hospital	$0	$129.5M
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Fred Hutchinson Cancer Center	WA	General Acute Care Hospital	$0	$72.6M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
University Of Washington	WA	Clinical Medical Laboratory	$1.5M	$36.6M
The Vancouver Clinic Inc Ps	WA	Internal Medicine Physician	$0	$28.2M
Uw School Of Dentistry	WA	Dentist	$0	$23.4M
Uw Medicine Northwest	WA	General Acute Care Hospital	$0	$5.7M
Pacmed Clinics	WA	Multi-Specialty Clinic/Center	$0	$4.5M

Nearby Providers

Other providers in the same ZIP code as Michael Doherty, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Washington	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$2.7M
Carrie Marder	WA	Neuroradiology Physician	$513.5K	$0
Sarah Anderson	WA	Diagnostic Radiology Physician	$360.6K	$0
Annemarie Shepherd	WA	Radiation Oncology Physician	$335.3K	$0
Courtney Gwinn	WA	Dermatology Physician	$319.7K	$0
Reza Masoomi	WA	Interventional Cardiology Physician	$319.1K	$0
Jean Lee	WA	Body Imaging Physician	$248.1K	$0
Patrick Goleski	WA	Interventional Cardiology Physician	$239.9K	$0
Katelan Longfellow	WA	Neurology Physician	$221.6K	$0
Larry Cai	WA	Diagnostic Radiology Physician	$207.8K	$0

Michael Doherty — Billing Profile & Reimbursement Data

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Michael Doherty — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References