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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 Associates Of Northern Kentucky, PLLC (NPI 1073595179)

Field	Value
Entity Type	Organization
Organization	Radiology Associates Of Northern Kentucky, PLLC
Address	1 Medical Village Dr
City	Edgewood
State	KY
ZIP	41017
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	November 16, 2005

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

93 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.	51,090	$60	$2.9M
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.	45,100	$20	$992.2K
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.	12,050	$50	$602.3K
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…	84,270	$10	$589.9K
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…	21,910	$20	$503.9K
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…	125,480	$1	$501.9K
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…	8,940	$40	$312.8K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	8,010	$40	$312.3K
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…	14,770	$20	$280.6K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	6,680	$40	$280.4K

Showing 1–10 of 93

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Radiology Associates Of Northern Kentucky, PLLC — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

93 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.	2	180	1,870	$280	$1.5M
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.	10	170	2,610	$250	$1M
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.	2	180	2,960	$110	$672.4K
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…	8	100	440	$320	$477.2K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	19	40	300	$640	$462.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	107	130	420	$270	$375.3K
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…	6	110	780	$170	$354.8K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	18	100	600	$190	$324.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,158	3,340	1,020	$30	$296K
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.	26	90	370	$250	$286.7K

Showing 1–10 of 93

Related Providers

Other providers that share a Tax Identification Number (TIN) with Radiology Associates Of Northern Kentucky, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rahul Sawlani	WI	Diagnostic Radiology Physician	$329.3K	$29.7K
Eric Brandser	KY	Diagnostic Radiology Physician	$250.5K	$0
Anne Kleimeyer	KY	Diagnostic Radiology Physician	$116.9K	$0
James Roebker	KY	Diagnostic Radiology Physician	$110.7K	$0
John Guluzian	KY	Diagnostic Radiology Physician	$106.2K	$0
Tushar Kothari	KY	Diagnostic Radiology Physician	$99.3K	$0
Scott Tyson	KY	Diagnostic Radiology Physician	$92.3K	$0
Jason Younga	CO	Emergency Medicine Physician	$85.1K	$0
Amar Patel	WI	Diagnostic Radiology Physician	$84.7K	$0
Brian Lawler	KY	Vascular & Interventional Radiology Physician	$84.2K	$0

Nearby Providers

Other providers in the same ZIP code as Radiology Associates Of Northern Kentucky, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Elizabeth Medical Center, Inc	KY	General Acute Care Hospital	$41.7K	$188.3M
Transitions, Inc.	KY	Substance Abuse Rehabilitation Facility	$0	$31.3M
Compass Emergency Physicians Psc	KY	Emergency Medicine Physician	$0	$28.8M
Bluegrass Behavioral Health Group, LLC	KY	Behavior Analyst	$0	$23.7M
Redwood School And Rehabilitation Center	KY	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$12M
Orthocincy Orthopaedics & Sports Medicine Psc	KY	Orthopaedic Surgery Physician	$0	$9.4M
Redwood School And Rehabilitation Center	KY	Community Health Clinic/Center	$0	$9.2M
Interim Healthcare Of Cincinnati, Inc	KY	Home Health Agency	$0	$7.9M
New Perceptions Inc	KY	Developmentally Disabled Services Day Training Agency	$0	$6.5M
St Elizabeth Medical Center, Inc	KY	Community Based Hospice Care Agency	$0	$3M

Radiology Associates Of Northern Kentucky, PLLC — Billing Profile & Reimbursement Data

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Radiology Associates Of Northern Kentucky, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

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Frequently Asked Questions

References