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

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

Gem State Radiology LLP (NPI 1083661508)

Gem State Radiology LLP is a diagnostic radiology physician provider located in Boise, Idaho. This profile covers 0 Medicare and 48 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	Gem State Radiology LLP
Address	1055 N Curtis Rd
City	Boise
State	ID
ZIP	83706
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 29, 2006

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

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

48 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.	30,770	$60	$1.8M
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…	83,610	$10	$501.7K
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.	18,610	$30	$465.3K
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…	10,140	$20	$212.9K
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…	21,150	$10	$148K
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…	1,590	$50	$85.8K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	1,560	$50	$73.3K
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…	2,400	$20	$52.7K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	1,590	$30	$50.8K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	1,360	$40	$50.4K

Showing 1–10 of 48

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Gem State Radiology LLP — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

48 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.	1	40	530	$70	$237.8K
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.	1	40	510	$30	$75.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	2	10	350	$70	$54.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	22	30	290	$60	$52.3K
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…	4	20	400	$80	$48.8K
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…	11	20	130	$100	$47.9K
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…	1	30	420	$30	$38.4K
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…	1	50	1,070	$10	$35K
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.…	3	10	20	$470	$30K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	6	30	90	$60	$29.7K

Showing 1–10 of 48

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0
Aaron Benner	NE	Diagnostic Radiology Physician	$237.7K	$0
Joon Kim	CA	Diagnostic Radiology Physician	$101.4K	$91.1K
James Earls	VA	Diagnostic Radiology Physician	$177.9K	$4.6K
Jeffrey Hebert	NM	Diagnostic Radiology Physician	$174.7K	$0
Bryan Suchecki	MA	Diagnostic Radiology Physician	$165.8K	$0
Veena Mathur	SC	Diagnostic Radiology Physician	$144.2K	$0
Michael Murphy	NH	Diagnostic Radiology Physician	$141.1K	$0
Kimball Christianson	UT	Diagnostic Radiology Physician	$136.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Safeway Inc	ID	Community/Retail Pharmacy	$76.1M	$330
Albertsons LLC	ID	Community/Retail Pharmacy	$29M	$0
American Drug Stores LLC	ID	Community/Retail Pharmacy	$27.3M	$0
Vons Companies Inc	ID	Community/Retail Pharmacy	$12.7M	$0
Nai Saturn Eastern LLC	ID	Community/Retail Pharmacy	$12.6M	$0
Smiles 4 Kids	ID	Dentist	$0	$9.6M
Acme Markets Inc	ID	Community/Retail Pharmacy	$9.5M	$0
Randalls Food & Drugs LP	ID	Community/Retail Pharmacy	$6.7M	$0
Shaws Supermarkets Inc	ID	Community/Retail Pharmacy	$5.5M	$0
Saint Alphonsus Regional Medical Center Inc	ID	General Acute Care Hospital	$0	$5.1M

Gem State Radiology LLP — Billing Profile & Reimbursement Data

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Gem State Radiology LLP — 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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