Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMasoud Shiehmorteza
    Ask Trek AI about this page

    Masoud Shiehmorteza — Billing Profile & Reimbursement Data

    NPI 1164724449 · Albuquerque, NM · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Masoud Shiehmorteza — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Masoud Shiehmorteza is a diagnostic radiology physician provider located in Albuquerque, New Mexico. This profile covers 42 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMasoud Shiehmorteza
    Address8020 Constitution Pl Ne Ste 202
    CityAlbuquerque
    StateNM
    ZIP87110
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedNovember 18, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$773.7K
    Medicaid$0

    Key Findings

    This NPI is a diagnostic radiology physician with lifetime Medicare revenue of $773.7K and no Medicaid billing on file, making the provider effectively single‑payer (Medicare) in the available claims data. The NPI was enumerated on 2010-11-18 (~16 years ago), indicating an established practice history but a relatively modest Medicare revenue base over that tenure.

    Revenue is highly concentrated: the precomputed top three Medicare codes (A9595, 78815, 74177) account for 67.4% of this provider's total Medicare revenue. The single largest line item is A9595 ($255.5K, 33.8% of Medicare revenue), followed by 78815 ($193.5K, 25.6%) and 74177 ($60.4K, 8.0%), so a small set of imaging services drive most receipts.

    The code mix points to a practice centered on advanced oncologic imaging and cross‑sectional abdominal studies: A9595 and 78815 relate to PET radiotracers and PET/CT scanning, while 74177 and 74183 reflect high volumes of abdominal/pelvic CT and MRI with contrast. Multiple radiopharmaceutical supply codes (A9581, A9552) and a broad set of CT, MRI, ultrasound, and mammography codes indicate the group offers a full diagnostic imaging suite with emphasis on PET/CT and abdominal imaging.

    Competitive standing in PET services appears modestly sized: A9595 is reported at typical, unremarkable volume for the code despite being the largest revenue contributor, and 78815 is also characterized as typical, unremarkable volume versus national peers. These descriptions suggest the provider participates in PET/PET‑CT imaging at a common volume level rather than as a dominant national provider for those services.

    By contrast, the provider demonstrates above‑typical national volumes for abdominal cross‑sectional imaging: 74177 (CT abdomen/pelvis with contrast) is described as notably above typical national volume and 74183 (abdominal MRI with and without contrast) is likewise noted as notably above typical. Those strong percentile placements imply a competitive advantage or focused referral stream for abdominal imaging within the physician's service mix.

    There is an extreme utilization signal in contrast agent administration: A9581 (injection, gadoxetate disodium) appears as an extreme outlier (ranks #2 of 154 providers, 99th percentile) with 1.7K claims but contributes only $19.8K (2.6%) of Medicare revenue due to a low average paid/claim. This pattern indicates unusually high per‑procedure use or billing of that specific contrast agent relative to peers, even though it is not a major revenue driver.

    The broader service footprint is diversified across thoracic CT, mammography/tomosynthesis, ultrasound, and lung‑cancer screening as well as PET/CT: examples include 71260 ($18K), 77067 ($13.2K), 76700 ($6.6K), and 71271 ($5.5K). These secondary revenue streams show the provider operates a mixed diagnostic imaging practice that serves both oncologic and general diagnostic referrals beyond its top PET and abdominal studies.

    Taken together, the data suggest a long‑standing diagnostic radiology practice with concentrated Medicare revenue driven by a small set of imaging services (top 3 = 67.4%), notable above‑typical national volume in abdominal CT/MRI, typical national participation in PET imaging volumes, and an anomalously high utilization of one MRI contrast agent (A9581) that merits operational attention but is not a large share of revenue.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9595Piflufolastat f-18, diagnostic, 1 millicurie400$630$255.5K
    78815PET 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.…190$1,020$193.5K
    74177The 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.480$130$60.4K
    74183The 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.220$220$48.4K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.150$200$28.7K
    A9581Injection, gadoxetate disodium, 1 ml1,650$10$19.8K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.270$70$18K
    74176The 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.200$70$13.8K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…10$1,130$13.5K
    77067The 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…110$120$13.2K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9595310440$700$309K
    7881543070$600$62.8K
    770675570180$70$37.2K
    770635470170$40$18.5K
    A95811101,550$10$16.8K
    7418343030$170$15.4K
    A9552720100$160$15.1K
    7219732080$160$13K
    741774130120$80$12.5K
    78816102020$620$11.2K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smi Imaging, LLCAZDiagnostic Radiology Physician$0$90.4M
    Otero County Hospital AssociationNMGeneral Acute Care Hospital$0$73.2M
    Advanced Radiology Services PCMIDiagnostic Radiology Physician$0$60M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Cibola General Hospital CorporationNMCritical Access Hospital$0$26.5M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Florida Hospital Medical Group IncFLDiagnostic Radiology Physician$0$13.1M
    X-ray Associates Of New Mexico PCNMDiagnostic Radiology Physician$0$10.1M
    Robert SolomonNYDiagnostic Radiology Physician$7M$1.4M
    Cibola General Hospital CorporationNMRural Health Clinic/Center$0$6.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    1st Care Of New Mexico LLCNMIn Home Supportive Care Agency$0$86.5M
    Community Options, IncNMChild Intellectual and/or Developmental Disabilities Respite Care$0$76.7M
    Abarim Home Health Care Inc.NMCommunity Based Hospice Care Agency$0$66M
    New Mexico Department Of HealthNMCustomized Equipment (DME)$0$60.4M
    Independent Living Resource CenterNMPersonal Care Attendant$0$57.7M
    Ability First, LLCNMExclusive Provider Organization$0$49M
    Alta Mira Specialized Family Services, Inc.NMCommunity/Behavioral Health Agency$0$46.2M
    Southwest Family Guidance Center LLCNMAdolescent and Children Mental Health Clinic/Center$0$32.7M
    Aid Home Health Care Services LLC.NMHome Health Agency$0$32.4M
    Active Solutions IncorporatedNMDevelopmentally Disabled Services Day Training Agency$0$31.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Masoud Shiehmorteza — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico