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NPI 1184661761 · Andover, MA · Obstetrics & Gynecology Physician
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Edwin Radke is a obstetrics & gynecology physician provider located in Andover, Massachusetts. This profile covers 11 Medicare and 15 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 | Edwin Radke |
| Address | 140 Haverhill Street |
| City | Andover |
| State | MA |
| ZIP | 01810 |
| Taxonomy | Obstetrics & Gynecology Physician |
| NPI Enumerated | June 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $55.9K |
| Medicare | $37.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 58558 | The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples… | 20 | $1,130 | $18.1K |
| 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… | 60 | $90 | $5.2K |
| 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… | 60 | $70 | $4K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 70 | $40 | $2.6K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 50 | $30 | $1.8K |
| 87511 | The lab analyst performs a test for Gardnerella vaginalis using amplified nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the vagina that… | 50 | $30 | $1.8K |
| 87660 | The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique. | 50 | $20 | $980 |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 40 | $30 | $900 |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 40 | $30 | $880 |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 20 | $30 | $650 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87591 | 7 | 10 | 40 | $30 | $22.1K |
| 87491 | 7 | 10 | 40 | $30 | $22K |
| 99214 | 10,412 | 15,410 | 110 | $80 | $15.6K |
| 58558 | 8 | 20 | 20 | $690 | $12.5K |
| 87481 | 27 | 30 | 190 | $30 | $9.1K |
| 99213 | 7,750 | 13,700 | 70 | $60 | $8.8K |
| 87660 | 5 | 10 | 90 | $20 | $2.8K |
| 76856 | 84 | 290 | 30 | $40 | $1.8K |
| 76830 | 81 | 320 | 20 | $50 | $1.8K |
| G0101 | 77 | 460 | 30 | $40 | $1.7K |
Showing 1–10 of 11
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.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 540 | $30 | $14.5K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 530 | $30 | $14.2K |
| 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… | 170 | $50 | $8.6K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 140 | $30 | $3.5K |
| 87511 | The lab analyst performs a test for Gardnerella vaginalis using amplified nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the vagina that… | 140 | $30 | $3.5K |
| 87660 | The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique. | 140 | $20 | $2.8K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 30 | $80 | $2.5K |
| 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… | 30 | $70 | $2.3K |
| 59025 | In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements. | 30 | $50 | $1.3K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 30 | $20 | $700 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 59025 | In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements. | 106 | 120 | 200 | $180 | $352.7K |
| 87511 | The lab analyst performs a test for Gardnerella vaginalis using amplified nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the vagina that… | 5 | 10 | 870 | $30 | $231.1K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 98 | 220 | 410 | $20 | $216.4K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 100 | 220 | 360 | $20 | $211.8K |
| 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… | 3,972 | 5,040 | 200 | $70 | $209.5K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 172 | 190 | 350 | $90 | $196K |
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 160 | 160 | 390 | $70 | $186.5K |
| 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… | 2,885 | 5,300 | 230 | $60 | $164.5K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 171 | 200 | 380 | $70 | $151.5K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 31 | 50 | 240 | $30 | $117.1K |
Showing 1–10 of 15
Other providers in the same ZIP code as Edwin Radke, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Partners In Child Development, Inc | MA | Early Intervention Provider Agency | $0 | $20.7M |
| Beyond Healthcare Agency LLC | MA | Home Health Agency | $0 | $13.2M |
| Safetynet Solutions | MA | In Home Supportive Care Agency | $0 | $7.8M |
| Cataract And Laser Center Of The North Shore, LLC | MA | Ambulatory Surgical Clinic/Center | $2.1M | $1.2M |
| Daniel Morocco | MA | Clinical Psychologist | $21.5K | $1.9M |
| Town Of Andover | MA | Land Ambulance | $463.2K | $859.6K |
| Merrimack Valley Health Services Inc | MA | Radiology Clinic/Center | $62.4K | $461.2K |
| Caille Roy | MA | Family Nurse Practitioner | $399.8K | $0 |
| Cvs Pharmacy Inc | MA | Pharmacy | $347.2K | $0 |
| First-call Medical Inc | MA | Physiological Laboratory | $152.4K | $121.9K |
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