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    OpenPayerNPI Medicare & MedicaidMark Adams
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    Mark Adams — Billing Profile & Reimbursement Data

    NPI 1194752105 · Rochester, NY · Diagnostic Radiology Physician

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    Mark Adams is a diagnostic radiology physician provider located in Rochester, New York. This profile covers 39 Medicare and 10 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Adams
    Address601 Elmwood Ave
    CityRochester
    StateNY
    ZIP14642
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 26, 2006

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

    Payer SourceTotal Paid
    Medicare$35.8K
    Medicaid$3.8K

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…360$10$2.9K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.280$10$2.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.350$10$2.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.350$10$2.4K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…250$10$2.2K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…40$50$2K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.200$10$1.8K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.40$50$1.7K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.240$10$1.7K
    73700In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity.50$30$1.6K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7372129948050$120$13.5K
    7322120040040$120$9.9K
    7708015385080$30$5.5K
    735646592040$30$2.7K
    7370011843030$50$2.5K
    7320011818020$70$2.5K
    735621421,37050$20$2.3K
    73502531,55040$20$1.8K
    73630511,70040$20$1.6K
    73030631,63040$20$1.5K

    Showing 1–10 of 39

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.660$1$2K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.200$10$1K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.210$1$820
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…50$1$110
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.30$1$80
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$1$80
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…30$1$80
    77092The provider interprets test results and creates a report on a patient’s fracture risk based on trabecular bone score.10$1$20
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…10$1$10
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…184220110$40$27.5K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.369440250$20$19.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.220690190$20$18.3K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.231410350$10$14.8K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…299370170$20$14.6K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.301360310$10$13K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.224470180$10$11.7K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.193230120$10$8.5K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…172270100$10$7.2K
    77092The provider interprets test results and creates a report on a patient’s fracture risk based on trabecular bone score.51010$1$300

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iftikhar AhmadNYDiagnostic Radiology Physician$3.8M$650.3K
    Zhiming YangPAAnatomic Pathology Physician$4.5M$0
    Frank TarantiniNJVascular Surgery Physician$1.9M$2.3K
    Nneka BrooksNYOphthalmology Physician$1.9M$2.2K
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Vipin GargNJPulmonary Disease Physician$1M$0
    Aryeh PollackNYRetina Specialist (Ophthalmology) Physician$720.1K$238.4K
    Jung HahnNYPsychiatry Physician$320.9K$576.4K
    Frank ScafuriNYInternal Medicine Physician$685.6K$163.2K
    Peter GottliebNYPulmonary Disease Physician$416.6K$373.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of RochesterNYGeneral Acute Care Hospital$0$368.3M
    U Of R Neurology DepartmentNYNeurology Physician$0$61.8M
    Emergency Associates - University Of RochesterNYEmergency Care Clinic/Center$0$26.1M
    Sana IdreesNYRetina Specialist (Ophthalmology) Physician$1.7M$1.6K
    Daniel GinatNYDiagnostic Radiology Physician$202.7K$867.5K
    Andrew ChenNYDiagnostic Radiology Physician$373.4K$0
    Andrew DunnNYAnatomic Pathology & Clinical Pathology Physician$358.9K$0
    Ankur ChandraNYVascular Surgery Physician$293.6K$0
    David WagnerNYAnatomic Pathology & Clinical Pathology Physician$174.7K$0
    Sherry WangNYDiagnostic Radiology Physician$151.5K$0

    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 York Distribution
    Mark Adams — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Mark Adams — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York