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.

Casey Mcroy (NPI 1184019986)

Field	Value
Entity Type	Individual
Organization	Casey Mcroy
Address	190 E Bannock St
City	Boise
State	ID
ZIP	83712
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 30, 2015

Payer Source	Total Paid
Medicare	$648.3K
Medicaid	$0

Key Findings

Specialty and service mix: The provider’s taxonomy is Diagnostic Radiology and the Medicare CPT mix is concentrated in cross-sectional and molecular imaging modalities — notable high-revenue items include 78815 (PET/CT) at $116.5K and 74177 (CT abdomen/pelvis with contrast) at $63K, plus MRI and CT chest studies across the top codes. The presence of A9595 (Piflufolastat f-18) at $46.4K further indicates the practice performs PET tracer–based diagnostic imaging in addition to conventional CT/MRI studies, consistent with a radiology group offering both anatomic and molecular imaging services.

Revenue concentration: The top three Medicare codes (78815, 74177, A9595) together account for 40.7% of the provider’s total Medicare revenue, and those three codes individually represent $116.5K (21.0%), $63K (11.4%), and $46.4K (8.4%) of the $648.3K Medicare lifetime revenue. This level of concentration implies that a few high-value imaging services—especially PET/CT and contrast CT—drive a large share of the practice’s Medicare income.

Payer mix and scale: This provider reports $648.3K in total Medicare revenue and has no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in the available data. The lack of Medicaid activity suggests either no Medicaid panel, billing through another entity for non-Medicare work, or focus on Medicare-aged and commercially insured imaging referrals, but the data strictly support characterization as effectively Medicare-dominant.

Competitive standing by code — PET/CT and PET agents: 78815 (PET/CT) appears at $116.5K and ranks #2203 of 6566 providers nationally (66th percentile) and A9595 (Piflufolastat f-18) at $46.4K ranks #492 of 528 providers nationally (6th percentile); these rank positions indicate typical national participation for PET/CT overall but a concentrated, relatively uncommon use of this specific PET agent compared with the narrow national pool reporting A9595. In plain terms, the provider shows routine volumes for general PET/CT but registers among a small set of providers using this newer PET tracer.

Competitive standing by code — CT/MRI volumes: Multiple CT and MRI codes sit in high national percentiles: 71250 (CT thorax without contrast) ranks #411 of 21854 providers (98th percentile; notably above typical national volume) and 74176 (CT abdomen/pelvis without contrast) ranks #867 of 22168 providers (96th percentile; notably above typical national volume). These high percentiles for core CT studies indicate the provider operates at volumes above typical national peers for several core cross-sectional imaging exams.

Statistical outliers and notable flags: Several codes are explicitly labeled as “notably above typical national volume” (e.g., 71250 at the 98th percentile, 74176 at the 96th percentile, 74181 at the 97th percentile), signifying genuine outperformance relative to national peers on standard CT/MR series rather than on low-reimbursement imaging. Conversely, many other high-revenue items (74177, 74183, 72197) are described as “typical, unremarkable volume,” showing a mixed profile of above-average throughput on some CT exams and average volumes on other abdominal and MRI services.

Tenure and credentialing: The provider’s NPI was enumerated on 2015-03-30 (~11 years ago), indicating an established billing history spanning roughly a decade in the Medicare dataset. This tenure supports interpretation that observed code mix and volumes represent an ongoing practice pattern rather than a short-term or transient billing artifact.

Operational implications for payers and competitors: Given the Medicare revenue concentration in PET/CT and contrast CT (top three codes = 40.7% of Medicare revenue) and several CT codes with notably above-typical national volume, payers should view this entity as a radiology provider with a substantive cross-sectional imaging throughput and some specialized PET tracer utilization. Competitors or network managers evaluating referral patterns should consider both the provider’s strong CT capacity (high national percentiles) and its participation in PET tracer imaging when assessing clinical coverage and capacity for advanced oncologic imaging in Boise, ID.

Medicare: Complete Services Breakdown

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.…	90	$1,240	$116.5K
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.	340	$190	$63K
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	90	$500	$46.4K
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.	160	$290	$46.2K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	500	$90	$44K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	150	$260	$38.7K
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.	260	$110	$28.8K
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	70	$280	$19.1K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	200	$90	$17.8K
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…	130	$100	$12.8K

Showing 1–10 of 75

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 75 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Casey Mcroy — 8 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. state median

75 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9595	1	10	90	$500	$46.4K
78815	8	50	60	$440	$30.5K
A9552	4	20	50	$260	$17.5K
74177	11	130	120	$70	$10.6K
70553	35	40	70	$90	$7.9K
72148	23	60	80	$60	$6.9K
74183	1	40	40	$120	$5.8K
72197	1	30	30	$140	$5.4K
76377	3	20	30	$40	$5.3K
71275	16	120	70	$60	$4.9K

Showing 1–10 of 75

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Radiology P A	MD	Diagnostic Radiology Physician	$0	$41.4M
Fort Healthcare, Inc.	WI	General Acute Care Hospital	$0	$9.4M
Richland Hospital	WI	Critical Access Hospital	$0	$9.2M
Boise Radiology Group PLLC	ID	Diagnostic Radiology Physician	$0	$5M
St. Joseph's Health Services, Inc.	WI	Critical Access Hospital	$0	$3.9M
North Canyon Medical Center Inc.	ID	Critical Access Hospital	$0	$3.4M
Ethan Spiegler	MD	Nuclear Radiology Physician	$2.9M	$0
Frederic Yeganeh	MD	Diagnostic Radiology Physician	$2.8M	$0
Karolyn Kerr	NY	Diagnostic Radiology Physician	$1.8M	$676.7K
Thomas Lank	MD	Diagnostic Radiology Physician	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Clinic-treasure Valley LLC	ID	Family Medicine Physician	$0	$59.2M
St Lukes Regional Medical Center	ID	General Acute Care Hospital	$0	$25.1M
Children's Home Society Of Idaho	ID	Mental Health Counselor	$0	$2.1M
Boise Pathology Group P.A.	ID	Dermatopathology (Pathology) Physician	$0	$1.1M
Frederick Emge	ID	Pediatric Cardiology Physician	$0	$422.8K
Dentistry For Children	ID	Pediatric Dentistry	$0	$343.1K
Sarah Bolender	ID	Radiation Oncology Physician	$245.1K	$0
Marcos Daccarett	ID	Clinical Cardiac Electrophysiology Physician	$202.3K	$0
Tonya Kuhn	ID	Radiation Oncology Physician	$187.9K	$0
Kenneth Little	ID	Neurological Surgery Physician	$179.9K	$0

Casey Mcroy — 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