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

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

Russell Fileccia (NPI 1164412789)

Field	Value
Entity Type	Individual
Organization	Russell Fileccia
Address	1453 E Bert Koun Loop Ste 112
City	Shreveport
State	LA
ZIP	71105
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	October 25, 2005

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused operator: lifetime Medicare revenue is $2.6M and there is no Medicaid billing on file, so the practice’s entire reported public-payer footprint is concentrated in Medicare. That single-payer profile implies the provider’s patient mix and reimbursement exposure are driven by Medicare coverage rules and fee schedules rather than by state Medicaid contracting dynamics.

Revenue is highly concentrated in a small set of imaging-related codes: the top three Medicare codes by revenue account for 80.3% of total Medicare revenue, led by 78431 ($1.3M, 52.4%), A9555 ($533.5K, 21.0%), and J2785 ($176.6K, 6.9%). This concentration indicates that a very large share of the provider’s business is driven by nuclear cardiology studies and their associated radiopharmaceutical and pharmacologic stress inputs.

The code mix and descriptions point to a dedicated nuclear cardiology and stress-imaging operation: 78431 (PET myocardial imaging), A9555 (Rubidium rb-82 per study dose), and J2785 (regadenoson injection) together suggest routine performance of rest/stress PET and SPECT protocols using rubidium tracer and pharmacologic stress. Supporting codes such as 78452 (multi-study SPECT, $121.4K) and 78434 (PET rest and stress adjunct, $101K) further reinforce that imaging—rather than office-based primary cardiology encounters—is the core service line.

This provider is a national high-volume outlier on several imaging and stress-related codes. 78431 ranks #6 of 1377 (100th percentile; notably above typical national volume), J2785 ranks #8 of 6388 (100th percentile; extreme outlier, far above typical national volume), and 78434 ranks #6 of 1017 (100th percentile; notably above typical national volume). These rank/percentile positions indicate the provider operates at volumes that place it among the top national performers for PET myocardial imaging and pharmacologic stress agent use.

At the same time, not all high-volume codes are uniformly extreme: A9555 ranks #39 of 1266 (97th percentile; typical, unremarkable volume) despite contributing $533.5K to revenue, which suggests strong but less anomalous utilization of rubidium tracer relative to the most extreme national outliers. Several additional cardiac services are billed at meaningful but smaller scales—93306 (echocardiogram, $55.4K), 99214 (office E/M, $53K), and 93000 (ECG, $11.7K)—indicating the practice combines high-volume imaging with routine cardiology follow-up and diagnostics.

Operational volume signals are visible in claim counts and average payments: 78431 has 796 claims with $1672 avg paid/claim, A9555 has 812 claims with $657 avg paid/claim, and J2785 shows 4.1K claims with $43 avg paid/claim. The combination of high claim counts for stress agent administration and high per-claim payments for imaging studies is consistent with a throughput-driven imaging center performing many pharmacologic stress protocols paired with higher-reimbursement PET studies.

The provider shows breadth across cardiac diagnostic modalities beyond PET/SPECT: high-percentile indicators for 78452 (rank #201 of 14946; 99th percentile; extreme outlier) and 93312 (TEE, rank #56 of 8984; 99th percentile; extreme outlier) plus remote device-monitoring codes (e.g., 93294, 93297) imply a full-service cardiology practice that supports advanced imaging, interventional imaging supervision (93458/93459 present), and longitudinal device surveillance. This suggests an operational model that couples high-volume imaging with procedural and monitoring services to manage complex cardiac patients.

The provider has long tenure on file, with NPI enumeration dated 2005-10-25 (~21 years ago), which supports interpretation of these utilization patterns as established practice behavior rather than a short-term anomaly. Given the concentrated Medicare revenue base and no Medicaid activity, analysts should view contracting, capacity planning, and payer-negotiation risk through the lens of an established, Medicare-centric imaging/cardiology service line.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	800	$1,670	$1.3M
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	810	$660	$533.5K
J2785	Injection, regadenoson, 0.1 mg	4,110	$40	$176.6K
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…	390	$310	$121.4K
78434	The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…	800	$130	$101K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	580	$100	$55.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	660	$80	$53K
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…	630	$60	$35.9K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	410	$70	$30K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	160	$80	$12.3K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Russell Fileccia — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78431	1	30	50	$1,370	$158.9K
A9555	1	60	130	$540	$75.1K
93306	34	390	200	$90	$22.2K
99214	447	6,670	110	$80	$16.5K
J2785	1	150	220	$40	$16K
78434	1	40	90	$120	$15.1K
78452	4	250	50	$190	$13.7K
99232	716	2,580	90	$60	$13.3K
99233	1,559	2,010	70	$90	$12.3K
93458	62	190	30	$280	$11.7K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Russell Fileccia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
James Keane	AR	Procedural Dermatology Physician	$4.9M	$0
Harshivinderjit Bains	TX	Ophthalmology Physician	$4.1M	$0
Balagopalan Nair	AR	Hematology & Oncology Physician	$4.1M	$0
Shanda Jackson	LA	Family Nurse Practitioner	$4M	$0
Amar Patel	TX	Ophthalmology Physician	$3.8M	$0
Thomas Bochow	TX	Ophthalmology Physician	$3.6M	$0
James Russo	LA	Radiation Oncology Physician	$3.5M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Stephen Price	LA	Physician Assistant	$3.4M	$0

Nearby Providers

Other providers in the same ZIP code as Russell Fileccia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wk Urgent Care Center-pierremont	LA	Family Medicine Physician	$0	$25M
Sincere Client Care Service	LA	Home Health Agency	$0	$13.4M
Christus Health Northern Louisiana	LA	General Acute Care Hospital	$0	$12.6M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$11.2M
Sincere Client Care Service	LA	Home Health Agency	$0	$9.9M
Caring Hands Pediatric Day Health Center, LLC	LA	Medically Fragile Infants and Children Day Care	$0	$7.5M
Ocean Dental Of Louisiana, P.C.	LA	General Practice Dentistry	$0	$6.6M
Highland Clinic, A Prof Med Corp	LA	Multi-Specialty Clinic/Center	$0	$5.9M
Autumn Creek Health Solutions Inc	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Kirtan Koticha	LA	Hematology & Oncology Physician	$3.1M	$0

Russell Fileccia — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References