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NPI 1225467681 · Providence, RI · Diagnostic Radiology Physician
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Tyler Campbell is a diagnostic radiology physician provider located in Providence, Rhode Island. This profile covers 38 Medicare and 6 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 | Tyler Campbell |
| Address | 593 Eddy St |
| City | Providence |
| State | RI |
| ZIP | 02903 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | November 6, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $252K |
| Medicaid | $100.4K |
Practice is heavily concentrated in breast imaging: the largest Medicare and Medicaid revenue drivers are mammography and related breast modalities, led by 77067, 77063 and 77049 on Medicare and 77067, 77063 and 76642 on Medicaid. High claim counts for screening mammography (77067: 915 Medicare claims, 885 Medicaid claims) and substantial revenue from diagnostic tomosynthesis and breast MRI indicate this provider operates primarily as a diagnostic breast-imaging service rather than a general high-volume cross-sectional imaging center.
Revenue concentration is pronounced across both payers: the provider’s top three Medicare codes account for 62.2% of Medicare revenue and the top three Medicaid codes account for 98.1% of Medicaid revenue. This level of concentration makes overall financial performance sensitive to volume or reimbursement changes for a very small set of breast-imaging codes.
Payer mix shows Medicare scale advantage: total Medicare revenue is $252K compared with total Medicaid revenue of $100.4K, so Medicare is the larger single payer for this provider. The practice is not effectively single-payer, but Medicare-generated volume and dollars are the dominant portion of lifetime revenue.
National competitive standing on key mammography codes is modest-to-strong but not dominant: the provider’s 77067 activity ranks #1807 of 15198 nationally (88th percentile), 77063 ranks #3254 of 14277 (77th percentile), and 77049 ranks #448 of 3140 (85th percentile) — the profile is characterized in the source as "typical, unremarkable volume" for these codes, indicating the provider is a solid regional participant in screening/diagnostic mammography but not an outlier.
State-level position for Medicaid screening/tomosynthesis is comparatively strong: 77067 ranks #16 of 54 in-state (72th percentile) and 77063 ranks #16 of 47 in-state (67th percentile), which places the provider among higher-volume Medicaid mammography suppliers locally. Note Medicaid average payments are lower than Medicare for the same services (77067 avg paid/claim $80 on Medicaid vs $118 on Medicare; 77063 avg paid/claim $34 on Medicaid vs $48 on Medicare), which compresses Medicaid revenue despite high claim counts.
The broader imaging mix includes CT, LDCT, DXA and general radiography but these lines contribute much smaller shares of revenue: examples include 74178 ($10.9K, 4.4% of Medicare revenue), 71250 ($7.8K, 3.2%), and 77080 DXA ($7.1K, 2.9%). These non-breast services appear ancillary to the core mammography/tomosynthesis volume rather than primary revenue drivers.
Several non-breast codes are low-volume relative to peers, suggesting limited activity outside the breast-imaging niche: for example, 74176 is at the 3th percentile nationally, 76641 at the 14th percentile, and 70450 at the 21th percentile (each described as "typical, unremarkable volume" or similarly low standing in the source). These low percentiles indicate the practice is not a major provider for those CT/ultrasound head/neck and certain cross-sectional codes.
Provider tenure: the NPI was enumerated on 2013-11-06 (~13 years ago), indicating a long-standing registration period. Combined with the billing profile focused on screening and diagnostic mammography, the tenure is consistent with an established breast-imaging operation serving both Medicare and Medicaid populations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 920 | $120 | $108K |
| 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… | 590 | $50 | $28.3K |
| 77049 | The 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… | 60 | $300 | $16.3K |
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 40 | $290 | $10.9K |
| 77065 | The 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… | 140 | $70 | $10.4K |
| 77066 | The 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… | 110 | $90 | $9.3K |
| 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. | 70 | $130 | $8.6K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 90 | $90 | $7.8K |
| 77080 | The 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… | 240 | $30 | $7.1K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 120 | $60 | $6.7K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 890 | $80 | $70.8K |
| 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… | 720 | $30 | $24.4K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 60 | $50 | $3.2K |
| 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. | 10 | $60 | $710 |
| 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… | 60 | $10 | $680 |
| 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… | 80 | $10 | $500 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
6 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. | 57 | 60 | 160 | $110 | $162.4K |
| 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… | 16 | 50 | 450 | $70 | $152.4K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 19 | 30 | 220 | $60 | $59K |
| 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… | 98 | 130 | 260 | $30 | $52K |
| 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… | 16 | 50 | 430 | $30 | $47K |
| 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… | 49 | 80 | 240 | $20 | $34.8K |
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