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NPI 1164439873 · Charlotte, NC · Diagnostic Radiology Physician
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Kenneth Fox is a diagnostic radiology physician provider located in Charlotte, North Carolina. This profile covers 8 Medicare and 1 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 | Kenneth Fox |
| Address | 9935d Rea Rd Ste 266 |
| City | Charlotte |
| State | NC |
| ZIP | 28277 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | August 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $303K |
| Medicaid | $360 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 3,060 | $60 | $183.3K |
| 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… | 2,920 | $30 | $75.9K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 630 | $60 | $36.7K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 40 | $50 | $2.1K |
| 77065 | The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential… | 40 | $40 | $1.6K |
| 76377 | In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with… | 30 | $50 | $1.5K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 50 | $30 | $1.3K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 20 | $40 | $740 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
1 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… | 10 | $30 | $360 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 88 | 90 | 190 | $40 | $48.2K |
Other providers in the same ZIP code as Kenneth Fox, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Heather Holden | NC | Rheumatology Physician | $1.1M | $0 |
| Firas Kassab | NC | Rheumatology Physician | $1M | $0 |
| Eric Orlowsky | NC | Rheumatology Physician | $927.4K | $0 |
| Carolinas Physicians Network Inc | NC | Ambulatory Surgical Clinic/Center | $685.2K | $138.2K |
| Tryon Endoscopy Center, LLC | NC | Endoscopy Clinic/Center | $812.8K | $0 |
| Laura Rosenzweig | NC | MOHS-Micrographic Surgery Physician | $534.1K | $0 |
| Charlotte Gastroenterology & Hepatology, PLLC | NC | Ambulatory Surgical Clinic/Center | $443.9K | $3.6K |
| Patrick Mcelgunn | NC | Dermatology Physician | $441.3K | $0 |
| Richard Miller | NC | Cardiovascular Disease Physician | $427.1K | $0 |
| Jonathan Olson | NC | MOHS-Micrographic Surgery Physician | $391.5K | $0 |
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