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    OpenPayerNPI Medicare & MedicaidLincoln Radiology Group PC
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    Lincoln Radiology Group PC — Billing Profile & Reimbursement Data

    NPI 1275587602 · Lincoln, NE · Diagnostic Radiology Physician

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    Lincoln Radiology Group PC is a diagnostic radiology physician provider located in Lincoln, Nebraska. This profile covers 0 Medicare and 41 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLincoln Radiology Group PC
    Address3901 Pine Lake Rd
    CityLincoln
    StateNE
    ZIP68516
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$4.5M
    Medicare$0

    Key Findings

    This practice is effectively single‑payer in the public programs it bills: there is no Medicare billing on file while Medicaid revenue totals $4.5M. Analysts should treat LINCOLN RADIOLOGY GROUP PC as a Medicaid‑centric diagnostic radiology operation rather than a mixed Medicare/Medicaid provider when modeling payer exposure or reimbursement trends.

    Revenue is highly concentrated in a few studies: the top three Medicaid CPT codes (74177, 71045, 70450) account for 64.4% of this provider’s total Medicaid revenue. Those top three line items are 74177 ($1.4M, 31.7% of Medicaid revenue), 71045 ($880.8K, 19.8%), and 70450 ($574.2K, 12.9%), indicating a small number of services are driving most Medicaid dollars.

    The code mix points to a high‑volume diagnostic radiology and CT practice with a significant emergency/acute imaging footprint. High revenues and claims for CT abdomen/pelvis with contrast (74177: 14.2K claims, $99 avg paid/claim) and CT head without contrast (70450: 19.8K claims, $29 avg paid/claim) plus massive single‑view chest radiograph volume (71045: 62.9K claims, $14 avg paid/claim) suggest the group handles large volumes of urgent or same‑day imaging referrals.

    For chest radiography, LINCOLN RADIOLOGY GROUP PC is a statewide outlier: 71045 ranks #3 of 81 providers in‑state at the 98th percentile and is explicitly labeled an "extreme outlier, far above typical state volume for this code." This indicates a dominant role in basic chest imaging volume in Nebraska and implies operational capacity oriented to very high throughput radiography.

    The practice is also a major statewide player in CT services. Key CT codes rank consistently at the top of in‑state lists — 74177 is #3 of 50 (96th percentile; notably above typical state volume), 70450 is #3 of 53 (96th percentile; notably above typical state volume), 74176 is #2 of 30 (97th percentile), and 71275 is #2 of 27 (96th percentile) — together these high ranks support characterization as a leading CT provider in the state.

    While CT and chest X‑ray dominate revenue, the provider offers a broader modality mix that includes mammography and ultrasound at more typical volumes. Breast imaging codes 77063 ($66.9K, ranks #6 of 43, 88th percentile) and 77067 ($60.3K, ranks #7 of 44, 86th percentile), plus abdominal ultrasound 76700 ($39.6K, ranks #4 of 26, 88th percentile), show service breadth but not the same revenue concentration as the top CT and chest X‑ray codes.

    The payment profile indicates reliance on high claim volumes for lower‑paid studies and fewer higher‑paid CT studies: examples include 71045 at $14 avg paid/claim with 62.9K claims, 70450 at $29 avg paid/claim with 19.8K claims, and 74177 at $99 avg paid/claim with 14.2K claims. This mix suggests operational scale and throughput efficiency are likely important drivers of Medicaid revenue for the group.

    The provider is long‑tenured on public records, with an NPI enumeration date of 2006-05-20 (~20 years ago), supporting the interpretation that current high volumes and in‑state ranking reflect an established practice rather than a short‑term fluctuation in billing patterns.

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The 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.14,210$100$1.4M
    71045In 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…62,920$10$880.8K
    70450The 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.19,800$30$574.2K
    74176The 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.5,360$90$466K
    71275In 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…4,470$70$308.2K
    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…16,700$10$233.8K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.13,280$10$132.8K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.2,860$40$117.1K
    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…1,970$30$66.9K
    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…2,510$20$60.3K

    Showing 1–10 of 41

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nebraska median

    41 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177The 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.350820$160$461.3K
    70553In 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…1020270$260$342.4K
    70450The 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.350830$90$269K
    74176The 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.230200$170$141.4K
    71275In 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…230250$150$114.6K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.92060$80$113.4K
    71045In 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…380390$10$75.3K
    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…430120$110$68.1K
    76705An 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…1330220$90$64.4K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…410540$80$60.5K

    Showing 1–10 of 41

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lincoln Radiology Group PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rachel NelsonTNDiagnostic Radiology Physician$383.2K$0
    Janet MatthesNEDiagnostic Radiology Physician$318.4K$0
    Travis PetreeNDDiagnostic Radiology Physician$275.7K$0
    Andrew CiccarelliMADiagnostic Radiology Physician$220.1K$0
    Sean PietriniNEVascular & Interventional Radiology Physician$216K$0
    Bryce HansenNEDiagnostic Radiology Physician$206.7K$0
    Donald BreitNEDiagnostic Radiology Physician$199.8K$0
    Jamey WrightMODiagnostic Radiology Physician$188.5K$0
    Jeffrey MatthesTNDiagnostic Radiology Physician$179.8K$0
    Douglas WinjumNEDiagnostic Radiology Physician$176.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Lincoln Radiology Group PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Melvin ChurchillNERheumatology Physician$4.8M$0
    Elite Professionals Home Care LLCNEHome Health Agency$0$4.2M
    Rick ChatwellNERheumatology Physician$3.5M$0
    Lincoln Pediatric Group LLCNEPediatrics Physician$0$2.3M
    Scott MchamNEHematology & Oncology Physician$1.9M$0
    Nebraska House Call Physicians, P.C.NEInternal Medicine Physician$0$1.7M
    Steven DunderNEHematology & Oncology Physician$1.7M$0
    Urology Surgical Center LLCNEAmbulatory Surgical Clinic/Center$1.4M$190.5K
    Wallace PetersonNEHematology & Oncology Physician$1.5M$0
    Irfan VaziriNEMedical Oncology Physician$1.4M$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.

    Medicaid Revenue by Year vs. Nebraska Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Lincoln Radiology Group PC — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska