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 Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa 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. Iowa (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.

Radiology Group PC Sc (NPI 1073573994)

Radiology Group PC Sc is a diagnostic radiology physician provider located in Davenport, Iowa. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Radiology Group PC Sc
Address	1970 E 53rd St
City	Davenport
State	IA
ZIP	52807
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 24, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11,660	$60	$746K
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.	12,750	$30	$382.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	39,930	$10	$319.5K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	31,230	$10	$187.4K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	4,420	$30	$150.1K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	4,320	$30	$108K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	1,300	$20	$31.2K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	340	$60	$20.7K
76642	In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.	780	$30	$19.5K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	310	$50	$13.9K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

Claims Volume vs. Iowa Distribution

Radiology Group PC Sc — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5	80	110	$70	$135.7K
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.	5	70	130	$40	$86.7K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	7	60	120	$50	$71.4K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	9	20	70	$90	$55.9K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	5	110	320	$10	$50.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	4	180	230	$10	$44.9K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	9	30	200	$30	$44.9K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	16	20	110	$120	$43.7K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	6	50	110	$30	$41.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	9	20	370	$60	$41.3K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K
Sunil Gujrathi	NV	Diagnostic Radiology Physician	$86.1K	$63.8K
Roopa Goswami	IA	Diagnostic Radiology Physician	$119.6K	$13.2K
Christine Walsh	IA	Diagnostic Radiology Physician	$121.8K	$10.8K
Steven Bright	GA	Diagnostic Radiology Physician	$116.5K	$14.5K
Jeffrey Goree	IA	Diagnostic Radiology Physician	$107.1K	$18.6K
Harrison March	WA	Neuroradiology Physician	$116.3K	$7.2K
Trevin Hayman	IA	Diagnostic Radiology Physician	$87.4K	$19.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quad Cities Service Providers, LLC	IA	Community/Behavioral Health Agency	$0	$17.4M
Secure Dental Ii, LLC	IA	Dentist	$0	$8.5M
Sweet Pea's Therapy, LLC	IA	Speech-Language Pathologist	$0	$8M
Family Care Solutions L C	IA	Home Health Agency	$0	$4.2M
Spring Park Surgery Center L L C	IA	Ambulatory Surgical Clinic/Center	$3.8M	$193.7K
Genventures, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Vav Operations Ia LLC	IA	Community/Behavioral Health Agency	$0	$3.1M
Mississippi Medical Plaza, Lc	IA	Ambulatory Surgical Clinic/Center	$2.2M	$906.6K
Obstetrics And Gynecology Specialists PC	IA	Obstetrics & Gynecology Physician	$0	$1M
Eric Dippel	IA	Interventional Cardiology Physician	$931K	$0

Radiology Group PC Sc — Billing Profile & Reimbursement Data

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Radiology Group PC Sc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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