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

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

Ethan Spiegler (NPI 1265475024)

Field	Value
Entity Type	Individual
Organization	Ethan Spiegler
Address	7253 Ambassador Rd
City	Baltimore
State	MD
ZIP	21244
Taxonomy	Nuclear Radiology Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

Practice is functionally a PET/CT and nuclear medicine imaging operation dominated by oncology diagnostics: the top three Medicare revenue drivers are 78815 ($1.6M), A9595 ($678.6K) and 78816 ($151.8K), which together account for 84.7% of this provider’s total Medicare revenue. The code descriptions (PET/CT scans and radiopharmaceutical diagnostics) and large per‑claim payments for these codes indicate a clinical focus on high‑complexity PET imaging and targeted radiotracers rather than routine outpatient imaging.

Medicare revenue is concentrated in a very small set of services: total Medicare revenue is $2.9M and the precomputed top‑3 concentration is 84.7%, signaling heavy dependence on a narrow group of PET and radiopharmaceutical procedures for the bulk of billing. That concentration creates operational sensitivity to utilization shifts, reimbursement changes, or supply availability for those specific codes.

This provider is effectively single‑payer in scope for covered public programs: there is no Medicaid billing on file, so Medicare constitutes the sole public payer relationship documented here. The lack of Medicaid activity suggests limited participation in state Medicaid networks and means state‑level payer dynamics will have little impact on observed public revenue.

Competitive standing on key PET and tracer codes is nationally prominent: 78815 ranks #11 of 6566 providers nationally (100th percentile; extreme outlier), A9595 ranks #21 of 528 providers nationally (96th percentile; notably above typical national volume), and A9552 ranks #7 of 2411 providers nationally (100th percentile; extreme outlier). Those rank positions and percentile labels indicate this provider operates at volumes far above typical peers for multiple high‑yield PET/radiotracer items and functions as a national outlier for those services.

Beyond the top PET codes, the provider shows high relative volume across a broad nuclear medicine mix consistent with a full service nuclear imaging center: examples include 78306 bone scan ($36.5K, 98th percentile; extreme outlier), 78227 hepatobiliary imaging ($31.5K, rank #1 of 842 providers; 100th percentile; extreme outlier), and 78452 cardiac SPECT ($29.3K, 99th percentile; extreme outlier). This pattern—high‑percentile ranks across bone, hepatobiliary, cardiac, parathyroid and other nuclear studies—supports an operational footprint that offers multiple specialized nuclear services, not just isolated PET exams.

The practice bills significant amounts for radiopharmaceutical supplies and tracers in addition to imaging: A9595 (piflufolastat f-18) is $678.6K of revenue and A9552 (FDG) is $94.9K, with additional tracer lines such as A9587 (Ga‑68 dotatate, $43.9K) appearing on the top‑25 list. High revenue from these drug/tracer codes and their elevated national ranks indicate dependency on expensive radiopharmaceuticals as a material component of revenue and clinical throughput.

Provider tenure is long enough to suggest an established operation: the NPI was enumerated 2006-06-13 (~20 years ago), which is consistent with sustained billing activity and potential operational stability over time. That length of enrollment supports interpretation of current volumes as the output of an established practice rather than a short‑term fluctuation.

The combination of Medicare‑only billing, very high concentration in a few PET/tracer codes, and repeated "extreme outlier" and "notably above typical" rank labels implies both market strength in specialized nuclear imaging and exposure to payer or policy changes affecting PET/radiopharmaceutical reimbursement. From an analytic perspective, this profile should be benchmarked against regional imaging centers and national PET providers for utilization, capacity, and supply‑cost sensitivity given the disproportionate share of revenue tied to a handful of high‑value codes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.…	1,350	$1,220	$1.6M
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	1,240	$550	$678.6K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	120	$1,320	$151.8K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	1,120	$90	$94.9K
A9584	Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries	30	$1,940	$50.3K
A9587	Gallium ga-68, dotatate, diagnostic, 0.1 millicurie	280	$160	$43.9K
78306	The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…	190	$190	$36.5K
78227	The provider images the liver, bile, bile ducts, and gallbladder to follow the production and flow of bile from the liver to the small intestine to diagnose a bile duct obstruction or leakage;…	170	$180	$31.5K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	490	$60	$29.3K
78608	In this diagnostic procedure, the provider performs PET, positron emission tomography, a type of nuclear imaging test. It tells how the brain is functioning with information on metabolism, such as…	20	$1,270	$24.1K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Ethan Spiegler — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9584	3	10	100	$1,950	$220.6K
78815	2	110	110	$830	$173.4K
A9595	1	40	290	$510	$169.9K
78608	5	10	20	$780	$48.6K
A9587	5	10	420	$100	$48.5K
78452	6	310	80	$330	$36.9K
78816	4	60	30	$770	$35.5K
A9552	2	80	90	$110	$19.5K
A9500	67	100	80	$110	$12.5K
A9562	1	10	30	$290	$8K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Radiology P A	MD	Diagnostic Radiology Physician	$0	$41.4M
Community Radiology Associates Inc	MD	Diagnostic Radiology Physician	$0	$27.8M
Frederic Yeganeh	MD	Diagnostic Radiology Physician	$2.8M	$0
Karolyn Kerr	NY	Diagnostic Radiology Physician	$1.8M	$676.7K
John Schreiber	MD	Diagnostic Radiology Physician	$2.3M	$0
Thomas Lank	MD	Diagnostic Radiology Physician	$2.2M	$0
Danilo Espinola	MD	Nuclear Radiology Physician	$1.8M	$0
Sergio Dromi	FL	Diagnostic Radiology Physician	$1.7M	$0
Peggy Chan	NY	Nuclear Medicine Physician	$1.7M	$56.8K
Khiet Nguyen	MD	Diagnostic Radiology Physician	$1.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trulife Mental Health Services	MD	Community/Behavioral Health Agency	$0	$30.7M
Heartland Hospice Services LLC	MD	Community Based Hospice Care Agency	$0	$29.1M
Life Renewal Services, Inc.	MD	Mental Health Counselor	$0	$15.6M
People Encouraging People, Inc.	MD	Community/Behavioral Health Agency	$0	$12M
Volunteers Of America Chesapeake & Carolinas Inc	MD	Mental Illness Community Based Residential Treatment Facility	$0	$10.7M
Foundations Recovery Center LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9M
Oasis Health Ventures	MD	Family Medicine Physician	$0	$8.3M
Chesapeake Rehab Equipment Inc	MD	Customized Equipment (DME)	$0	$8.2M
Mohsin Ansari Md Faap PC	MD	Pediatrics Physician	$0	$7.4M
Life Renewal Services, Inc.	MD	Mental Health Counselor	$0	$6.2M

Ethan Spiegler — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References