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 Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska 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. Nebraska (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.

Radiology Consultants PC (NPI 1215969407)

Key Findings

Field	Value
Entity Type	Organization
Organization	Radiology Consultants PC
Address	11902 W Center Rd Ste 200
City	Omaha
State	NE
ZIP	68144
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

This practice operates essentially as a Medicaid-focused imaging provider: Total Medicaid revenue is reported at $10M and there is no Medicare billing on file, so the practice’s commercial/Medicare mix is effectively absent and the Medicaid line drives its entire reported public-payer revenue. The absence of Medicare billing on file is noteworthy given the firm’s ~20 years of enumeration (NPI enumerated 2006-07-07, ~20 years ago), indicating a long-tenured entity that currently participates primarily in the state Medicaid market.

Revenue concentration is high: the precomputed top three Medicaid codes (74177, 71045, 70450) account for 53.5% of the provider’s total Medicaid revenue. Those three codes individually represent $3M (74177, 31.0%), $1.2M (71045, 12.1%), and $1M (70450, 10.4%) of Medicaid revenue, which indicates this practice’s financial performance is heavily dependent on a narrow set of imaging services.

The code mix shows a strong operational emphasis on high-volume cross-sectional and emergency/acute imaging. The top revenue driver 74177 (CT abdomen and pelvis with contrast) has 34K claims and $3M revenue, while 70450 (CT head without contrast) has 34.7K claims and $1M revenue; together with the large chest x-ray volume under 71045 (89.5K claims, $1.2M), this pattern is consistent with an imaging practice that supplies CT and radiography for acute care and high-throughput outpatient diagnostics.

State competitive standing is dominant for multiple key codes: the provider ranks #1 in-state and at the 100th percentile for 74177, 71045, and 70450, with the data explicitly labeling these volumes as "extreme outlier, far above typical state volume for this code." This indicates the practice is a major statewide provider for those studies rather than a modest local participant, and it likely captures a disproportionate share of Medicaid referrals for abdominal CT, chest x-ray, and head CT.

Beyond the top three, the practice shows similarly outsized state presence across many advanced imaging modalities. Additional high-volume codes that rank #1 in-state include 70553 (MRI brain with and without contrast, $627.9K), 74176 (CT abdomen/pelvis without contrast, $452.5K), and mammography/tomosynthesis codes 77063 and 77067 (combined several hundred-thousand dollars), with most of these also described as "extreme outlier" or "notably above typical state volume," reinforcing the view of a broad, high-capacity radiology operation.

Not all services are extreme outliers: several codes show typical or unremarkable statewide standing (for example, 71260 ranks #3 of 24 providers at the 91st percentile and 70486 ranks #2 at the 89th percentile). These mid-tier rankings suggest that while the provider dominates certain service lines, it competes more typically for some thoracic CT and maxillofacial CT work, implying pockets of normal competitive pressure within its broader dominant footprint.

Operational implications for payers and network planners include the provider’s concentration in CT and high-throughput radiography workflows: the combination of very large claim counts (e.g., 89.5K claims for 71045, 34K for 74177, 34.7K for 70450) with Medicaid-only revenue implies contracting, access, and capacity considerations should be tailored to manage heavy imaging volumes under Medicaid reimbursement rules. Payers should treat this entity as a systemically significant imaging resource in Nebraska for both emergency/acute imaging and screening/diagnostic mammography.

The long tenure (NPI active since 2006-07-07, ~20 years) paired with the provider’s extreme outlier volumes for many codes indicates an established, large-scale imaging operation focused on serving Medicaid populations. For utilization management or network optimization, the combination of long-standing presence and concentrated Medicaid revenue suggests this provider is entrenched in referral pathways and could materially affect statewide Medicaid imaging capacity if access or contracting changed.

Medicaid: Complete Services Breakdown

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	33,980	$90	$3M
71045	In 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…	89,470	$10	$1.2M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	34,660	$30	$1M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	7,140	$90	$627.9K
71046	In 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…	37,250	$10	$484.2K
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.	5,880	$80	$452.5K
77063	The 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…	10,430	$30	$354.6K
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…	5,380	$70	$349.6K
77067	The 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…	11,610	$30	$336.6K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	6,760	$40	$263.8K

Showing 1–10 of 66

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Radiology Consultants PC — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	1	50	820	$160	$461.3K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	1	20	270	$260	$342.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1	50	830	$90	$269K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	3	10	270	$140	$171.1K
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.	1	30	200	$170	$141.4K
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.	2	10	300	$270	$127.8K
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…	1	30	250	$150	$114.6K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	3	20	60	$80	$113.4K
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.…	3	10	140	$520	$79K
71045	In 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…	1	80	390	$10	$75.3K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omaha Insomnia And Psychiatric Services, LLC	NE	Psychiatry Physician	$0	$1.9M
Becker Counseling Services LLC	NE	Mental Health Counselor	$0	$1.3M
Summit Dental Health - Oakview, LLC	NE	General Practice Dentistry	$0	$1.2M
Elite Professionals Home Care LLC	NE	Home Health Agency	$0	$1.1M
Shoptikal LLC	NE	Eyewear Supplier	$0	$987.5K
Pedodontics, PC	NE	Pediatric Dentistry	$0	$839.9K
Nebraska Home Health - Opco LLC	NE	Home Health Agency	$0	$828K
Nebraska Orthopaedic Hospital LLC	NE	General Acute Care Hospital	$0	$787.6K
Diamond Chiropractic & Acupuncture, LLC	NE	Chiropractor	$0	$684.7K
Nada Skaf	NE	Rheumatology Physician	$612.3K	$0

Radiology Consultants PC — Billing Profile & Reimbursement Data

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Radiology Consultants PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Mehr	NE	Nuclear Medicine Physician	$2.5M	$0
Bruce Baron	NE	Diagnostic Radiology Physician	$282.4K	$0
Steven Osborn	IL	Neuroradiology Physician	$269K	$0
Kevin Marcum	FL	Diagnostic Radiology Physician	$243.6K	$0
Scott Akin	AL	Diagnostic Radiology Physician	$189K	$52.6K
Michelle Peterson-jones	NE	Diagnostic Radiology Physician	$240.9K	$0
Charles Schlaepfer	NE	Diagnostic Radiology Physician	$225.4K	$0
John Haggstrom	NE	Diagnostic Radiology Physician	$224.6K	$0
Erik Pedersen	NE	Diagnostic Radiology Physician	$212.6K	$0
Daniel Novinski	NE	Diagnostic Radiology Physician	$192.5K	$0