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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndrew Healey
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    Andrew Healey — Billing Profile & Reimbursement Data

    NPI 1194141689 · Madison, WI · Diagnostic Radiology Physician

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    Andrew Healey is a diagnostic radiology physician provider located in Madison, Wisconsin. This profile covers 2 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Healey
    Address4702 Madison Yards Way Apt 322
    CityMadison
    StateWI
    ZIP53705
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMarch 9, 2014

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

    Payer SourceTotal Paid
    Medicare$410
    Medicaid$0

    Key Findings

    This provider is a Diagnostic Radiology Physician whose Medicare billing is concentrated entirely in basic chest radiography procedures: the two reported codes are 71046 (two-view chest radiograph) and 71045 (single-view chest radiograph). The code descriptions indicate routine diagnostic chest x-rays rather than advanced imaging modalities, suggesting the provider’s Medicare-facing service line is limited to standard radiographic chest studies.

    Revenue concentration is extreme within the small Medicare footprint: the precomputed top-3 Medicare codes by revenue account for 100.0% of this provider’s total Medicare revenue. The two listed codes together represent that full share, with 71046 accounting for $238 (55.7% of this provider’s total Medicare revenue) and 71045 accounting for $189 (44.3% of this provider’s total Medicare revenue).

    The absolute scale of Medicare activity is very small: Total Medicare revenue on file is $414. This level of Medicare receipts implies minimal Medicare-facing volume or limited participation in Medicare-covered services relative to typical radiology providers.

    Payer mix is effectively single-payer: there is no Medicaid billing on file. The provider’s Medicaid revenue is recorded as none, so all documented public-payer activity is through Medicare only.

    Competitive standing on these chest x-ray codes is modest nationally. For 71046 the provider ranks #41957 of 47284 (9th percentile; labeled as "typical, unremarkable volume") and for 71045 the provider ranks #23067 of 25249 (8th percentile; labeled as "typical, unremarkable volume"), indicating the provider is a low-volume participant for these codes rather than a regional or national leader.

    Service-level throughput is low based on claim counts and per-claim payments: 71046 shows 14 claims at $17 avg paid/claim yielding $238 in revenue, while 71045 shows 27 claims at $7 avg paid/claim yielding $189. These counts and low average payments per claim are consistent with limited Medicare imaging volume rather than a high-throughput outpatient radiology operation.

    The provider’s enrollment history shows an NPI enumerated on 2014-03-09 (~12 years ago), indicating an established Medicare enrollment despite minimal billed Medicare revenue. The combination of long-tenure enrollment and low reported Medicare receipts may reflect a provider who is enrolled but not actively billing Medicare at scale or who provides services outside of Medicare reimbursement channels.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$20$240
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…30$10$190

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    710453580240$10$2K
    71046379080$10$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richland HospitalWICritical Access Hospital$0$9.2M
    Casey McroyIDDiagnostic Radiology Physician$648.3K$0
    Thomas ReherSDDiagnostic Radiology Physician$540.8K$0
    Indraneel GowdarILDiagnostic Radiology Physician$117.3K$279.6K
    Prateek SananILDiagnostic Radiology Physician$140.8K$167.3K
    Fahad IqbalWICardiovascular Disease Physician$142.2K$157.7K
    Edward BormanWIDiagnostic Radiology Physician$286.6K$0
    John PapeNMDiagnostic Radiology Physician$224.2K$0
    Elizabeth MaddoxCODiagnostic Radiology Physician$209.8K$0
    Ryan WoodsWIDiagnostic Radiology Physician$190.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catalyst, IncWIHome Health Agency$0$3.5M
    Gordon CrabtreeWIOphthalmology Physician$618.1K$2.2K
    Justin GottliebWIOphthalmology Physician$506K$0
    Andrew HendrickWIOphthalmology Physician$503.9K$0
    Mihai MititeluWIOphthalmology Physician$366.1K$140
    Alexandra McmurrayWIChild & Adolescent Psychiatry Physician$102.8K$183.3K
    Kenneth HerrmannWIPsychiatry Physician$44K$187.8K
    John FlobergWIRadiation Oncology Physician$222.7K$0
    Michael AltaweelWIOphthalmology Physician$200.4K$0
    Walgreen CoWIPharmacy$184.2K$11.8K

    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. Wisconsin Distribution
    Andrew Healey — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin