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    OpenPayerNPI Medicare & MedicaidRandy Fanous
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    Randy Fanous — Billing Profile & Reimbursement Data

    NPI 1215207048 · San Diego, CA · Diagnostic Radiology Physician

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    Randy Fanous is a diagnostic radiology physician provider located in San Diego, California. This profile covers 48 Medicare and 11 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
    OrganizationRandy Fanous
    Address200 W Arbor Dr
    CitySan Diego
    StateCA
    ZIP92103
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJanuary 10, 2012

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

    Payer SourceTotal Paid
    Medicaid$911.3K
    Medicare$339.6K

    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…860$150$126.4K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.260$110$27.9K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…150$120$17.8K
    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…330$40$14.7K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.50$310$14.5K
    77049The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…40$330$12.8K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…100$100$10.1K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.60$170$9.5K
    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…280$30$7.8K
    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.20$320$7.4K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    770671651,290170$90$34.5K
    77063890960280$40$19.3K
    939258331,25040$180$15.4K
    705539121,00050$150$13K
    7219722150040$180$12.6K
    721486721,35060$110$11.5K
    7372160893050$120$11.1K
    938801,9522,23040$130$10.7K
    7418344869030$160$9.5K
    7322153079040$130$8.7K

    Showing 1–10 of 48

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,350$130$422K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.3,980$80$306.6K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…770$150$116.9K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…420$120$49.1K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…240$50$11.8K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…20$90$2K
    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…50$30$1.3K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.10$60$740
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)20$50$690
    A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml20$30$540

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…191900560$70$230.3K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.33300330$60$106.7K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…792890410$50$82.5K
    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…1,2191,490610$20$79.6K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…85360200$80$78.4K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…308450570$30$66.5K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…110290210$70$54.6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.479510170$40$35.3K
    A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml8190190$40$26.3K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)190210110$20$14.8K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$107.9M
    United Medical Imaging Healthcare, Inc.CARadiology Clinic/Center$0$106.8M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$55.1M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$38.9M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$33.4M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Appalachian Regional Healthcare, Inc.KYCritical Access Hospital$0$26.9M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$26.8M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Appalachian Regional Healthcare, IncWVGeneral Acute Care Hospital$0$18.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regents Of The University Of CaliforniaCAGeneral Acute Care Hospital$0$264.9M
    Family Health Centers Of San Diego IncCAFederally Qualified Health Center (FQHC)$0$95.2M
    Scripps HealthCAGeneral Acute Care Hospital$0$64.2M
    Ihs Radiology Medical Group, Inc.CADiagnostic Radiology Physician$0$59.1M
    New Alternatives, Inc.CAMental Health Clinic/Center (Including Community Mental Health Center)$0$32M
    Mark SchechterCADiagnostic Radiology Physician$1.7M$270
    Harrison WangCADiagnostic Radiology Physician$1.3M$0
    Scripps Mercy Ambulatory Surgery Center, LPCAAmbulatory Surgical Clinic/Center$723.3K$551.3K
    Michael BookerCADiagnostic Radiology Physician$1.2M$0
    William FreemanCAOphthalmology Physician$1.2M$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. California Distribution
    Randy Fanous — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Randy Fanous — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California