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NPI 1073649653 · Milford, MA · Diagnostic Radiology Physician
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Jeffrey Potter is a diagnostic radiology physician provider located in Milford, Massachusetts. This profile covers 80 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jeffrey Potter |
| Address | 14 Prospect St |
| City | Milford |
| State | MA |
| ZIP | 01757 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | February 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $355.4K |
| Medicaid | $201.1K |
This provider is a diagnostic radiology physician with a long Medicare/NPI tenure: NPI enumerated 2007-02-26 (~19 years ago), indicating nearly two decades of billing presence which supports stable, ongoing imaging services rather than a recent or transient practice. The length of enumeration suggests established referral relationships and operational continuity in Milford, MA.
Revenue scale shows Medicare is larger but both payers are meaningful: Total Medicare revenue is $355.4K versus Total Medicaid revenue $201.1K, so the provider generates material income from both programs rather than being single-payer dependent. Analysts should treat this as a mixed-payer outpatient imaging practice with Medicare predominance in absolute dollar terms.
Service-line mix is heavily mammography-focused across both payers: the top Medicare codes include 77067 and 77063, and the same two codes dominate Medicaid revenue. These codes are routine 2-view digital screening mammography and tomosynthesis (3D mammography), indicating the practice’s operational emphasis on breast imaging and screening services as primary revenue drivers.
Revenue concentration is high for mammography within each payer: precomputed figures show the provider’s top 3 Medicare codes account for 64.2% of Medicare revenue and the top 3 Medicaid codes account for 99.2% of Medicaid revenue. This concentration signals that breast imaging (77067, 77063) plus a smaller set of CT/MRI services comprise the core business and that any changes in mammography reimbursement or referral patterns would materially affect overall revenue.
Competitive standing on Medicare for 77067 and 77063 is well above typical national volumes: 77067 ranks #478 of 15198 providers nationally (97th percentile; notably above typical national volume) and 77063 ranks #616 of 14277 providers nationally (96th percentile; notably above typical national volume). These percentiles indicate the provider is a comparatively high-volume mammography biller nationally, suggesting a regional draw or high screening throughput relative to peers.
Statewide (Medicaid) positioning for the same mammography codes is more middling: for 77067 the provider ranks #107 of 302 in-state (65th percentile) and for 77063 ranks #94 of 261 in-state (64th percentile). These rankings imply the provider is a solid but not dominant in-state mammography participant; it maintains typical volumes relative to other Massachusetts Medicaid providers.
Beyond mammography, Medicare billing shows a breadth of advanced imaging and image-guided procedures (CT abdomen/pelvis with contrast 74177, PET/CT 78815, head CT 70450, various CT angiography and MR sequences). Those secondary codes collectively supply modest shares of Medicare revenue (each code individually under ~6%), signaling the practice offers a multi-modality imaging platform that supports screening mammography with supplemental diagnostic CT, PET/CT, and MRI capabilities.
Code-level statistical labels reinforce exceptional mammography volume nationally and typical volumes elsewhere: the two breast-imaging codes are described as notably above typical national volume, while most CT/MRI codes are characterized as typical or unremarkable volumes. Analysts should interpret this as a high-throughput screening mammography center that also provides routine diagnostic imaging at expected peer rates.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
80 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,630 | $80 | $125.4K |
| 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… | 1,430 | $40 | $58.5K |
| 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. | 260 | $70 | $17.7K |
| 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.… | 140 | $90 | $12.2K |
| 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. | 400 | $30 | $12K |
| 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. | 130 | $70 | $8.6K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 200 | $40 | $7.9K |
| 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… | 110 | $60 | $7.3K |
| 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… | 790 | $10 | $6.3K |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 170 | $40 | $6.1K |
Showing 1–10 of 80
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 80 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
80 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 78815 | 9 | 160 | 70 | $580 | $94.4K |
| 77067 | 3 | 390 | 390 | $60 | $30.7K |
| 78816 | 7 | 60 | 20 | $510 | $29.1K |
| 77063 | 4 | 380 | 370 | $30 | $17.3K |
| 74177 | 23 | 620 | 140 | $80 | $15.4K |
| 70553 | 29 | 330 | 70 | $130 | $14.8K |
| 74183 | 24 | 280 | 50 | $140 | $12.3K |
| 72197 | 12 | 190 | 40 | $150 | $9.9K |
| 72148 | 21 | 400 | 60 | $90 | $9K |
| 73721 | 22 | 200 | 60 | $100 | $8.8K |
Showing 1–10 of 80
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,640 | $90 | $142.5K |
| 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… | 1,550 | $40 | $54.1K |
| 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. | 30 | $60 | $1.7K |
| 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… | 230 | $1 | $920 |
| 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… | 40 | $10 | $320 |
| 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. | 10 | $20 | $310 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
6 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. | 192 | 220 | 280 | $100 | $491.2K |
| 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. | 203 | 230 | 330 | $70 | $343.3K |
| 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… | 94 | 260 | 470 | $40 | $148.9K |
| 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… | 107 | 300 | 460 | $30 | $137.9K |
| 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… | 428 | 590 | 150 | $10 | $61.1K |
| 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… | 164 | 330 | 230 | $1 | $31.1K |
Other providers in the same ZIP code as Jeffrey Potter, ranked by combined Medicare and Medicaid revenue.
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