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

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

Fairfax Radiological Consultants (NPI 1114902509)

Fairfax Radiological Consultants is a specialist provider located in Falls Church, Virginia. This profile covers 0 Medicare and 133 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	Fairfax Radiological Consultants
Address	3300 Gallows Rd
City	Falls Church
State	VA
ZIP	22042
Taxonomy	Specialist
NPI Enumerated	December 8, 2005

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

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

133 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.	27,320	$60	$1.7M
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.	46,360	$20	$1.1M
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…	168,750	$10	$843.7K
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…	7,670	$60	$467.7K
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…	54,410	$10	$435.3K
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…	19,320	$20	$424.9K
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…	5,220	$80	$412.2K
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.	6,740	$50	$363.7K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	56,890	$10	$341.3K
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…	6,350	$50	$285.7K

Showing 1–10 of 133

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Fairfax Radiological Consultants — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

133 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	180	2,950	$140	$783.2K
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.	3	170	3,390	$100	$658.8K
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…	7	130	1,190	$160	$356.6K
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…	7	90	440	$220	$322.9K
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.	6	150	1,740	$140	$317.7K
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…	2,843	4,010	290	$50	$199.8K
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.	5	90	410	$160	$169.7K
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	140	960	$70	$149.4K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	6	30	210	$250	$131.9K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	6	90	290	$100	$125.3K

Showing 1–10 of 133

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$176.6M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$69M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$46.9M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$39.3M
Inova Health Care Services	VA	Internal Medicine Physician	$0	$38M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$33.5M
Inova Health Care Services	VA	Clinical Medical Laboratory	$5.4M	$6.8M
Inova Health Care Services	VA	Physical Therapist	$0	$8.9M
Inova Health Care Services	VA	Magnetic Resonance Imaging (MRI) Clinic/Center	$1.6M	$2.9M
Behdad Aryavand	VA	Vascular Surgery Physician	$1.6M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Care Partners At Home Inc	VA	In Home Supportive Care Agency	$0	$87.4M
Emergency Medicine Associates P.A., P.C.	VA	Emergency Medicine Physician	$0	$85.6M
Dominion Home Health Care LLC	VA	Home Health Agency	$0	$22.1M
Ne Virginia Emergency Physicians LLC	VA	Emergency Medicine Physician	$0	$15.5M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Fairfax County Public Schools	VA	Local Education Agency (LEA)	$0	$8.2M
Capital Hospice	VA	Community Based Hospice Care Agency	$0	$5.8M
Khurram Malik	VA	Ophthalmology Physician	$1.1M	$0
Aaron Fuchs	VA	Procedural Dermatology Physician	$563K	$0
Joseph Krepp	VA	Cardiovascular Disease Physician	$428.7K	$1.5K

Fairfax Radiological Consultants — Billing Profile & Reimbursement Data

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Fairfax Radiological Consultants — 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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