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NPI 1275791832 · Green Bay, WI · Diagnostic Radiology Physician
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Riley Smyth is a diagnostic radiology physician provider located in Green Bay, Wisconsin. This profile covers 119 Medicare and 2 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 | Riley Smyth |
| Address | 1789 Shawano Ave |
| City | Green Bay |
| State | WI |
| ZIP | 54303 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | May 29, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $805.1K |
| Medicaid | $320 |
This provider’s billing is overwhelmingly Medicare‑driven: total Medicare revenue is $805.1K while total Medicaid revenue is only $317, making Medicaid effectively immaterial to overall revenue. The Medicaid amount is entirely driven by a single code (71046), so payer mix is functionally single‑payer for commercial analysis and utilization review purposes.
Revenue concentration within Medicare is meaningful: the precomputed top‑3 Medicare codes account for 35.5% of Medicare revenue, with 77067, 78815, and 78452 identified as the highest‑revenue codes. Those three codes point to breast screening (77067), oncologic PET/CT (78815), and myocardial perfusion SPECT (78452) as the principal revenue drivers, indicating that specialized imaging lines contribute a disproportionate share of income.
The code mix indicates a broad diagnostic radiology practice that spans routine high‑volume radiography and advanced modalities. High‑revenue items and frequent services include mammography and tomosynthesis (77067, 77063), PET/CT and PET radiopharmaceuticals (78815, A9552), nuclear medicine agents (A9500), CT and MRI (74177, 70553, 72148), as well as vascular ultrasound (93880) — together these suggest a full‑service imaging operation rather than a single‑modality clinic.
This provider ranks well above typical national volumes for several service lines, signaling competitive strength in specific areas. 77067 ranks in the 94th percentile nationally (notably above typical volume), chest radiograph 71046 ranks at the 100th percentile (notably above typical volume), and lumbar MRI with contrast 72158 sits at the 97th percentile (notably above typical volume), which together suggest local or referral dominance for breast screening, chest radiography, and select MRI services.
There are multiple plain‑film radiography codes where the provider is an extreme outlier in national volume, implying unusually high throughput for routine musculoskeletal imaging. Codes flagged as “extreme outlier” include 73564 (knee), 73630 (foot), 73030 (shoulder), and 73503 (hip), and additional high national ranks such as 73502 at the 99th percentile reinforce that routine X‑ray work constitutes a substantial volume stream alongside advanced imaging.
Advanced nuclear medicine and PET components appear active but are not uniformly top‑tier nationally. PET/CT procedure 78815 is at the 49th percentile (typical volume), A9552 (FDG) is at the 54th percentile, and A9500 (sestamibi) is at the 84th percentile — this pattern supports a functioning oncology/cardiac nuclear practice that is established but not consistently dominant across all PET/nuclear metrics.
Medicaid activity is negligible and highly concentrated: Medicaid revenue $317 is 100.0% attributable to 71046 (23 claims, $14 avg paid/claim), and G1004 shows 60 claims with $0 revenue. The in‑state rank for 71046 is #289 of 327 (11th percentile), indicating modest Medicaid chest X‑ray volume relative to state peers and underscoring Medicare dependence for payer‑facing contracting or utilization interventions.
This NPI has been enumerated since 2008‑05‑29 (~18 years ago), reflecting a long tenure that supports an interpretation of established referral patterns and practice workflows. Combined with the concentrated Medicare revenue (35.5% from the top three codes) and extreme plain‑film volumes, the profile is consistent with a stable, high‑throughput diagnostic radiology provider that mixes routine X‑ray services with specialized breast, oncologic, and cardiac imaging lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
119 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… | 1,270 | $80 | $105K |
| 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.… | 60 | $1,090 | $61.1K |
| 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… | 130 | $270 | $35.6K |
| 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… | 2,180 | $10 | $28.4K |
| 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… | 1,260 | $20 | $27.7K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 60 | $410 | $24.7K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 260 | $90 | $24.3K |
| 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. | 200 | $120 | $23.2K |
| 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… | 180 | $120 | $22.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 250 | $90 | $20.8K |
Showing 1–10 of 119
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 119 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
119 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| A9552 | 7 | 30 | 30 | $330 | $19K |
| 93306 | 140 | 320 | 220 | $60 | $16.4K |
| 78815 | 51 | 170 | 30 | $260 | $15.5K |
| 77067 | 11 | 500 | 140 | $60 | $14.5K |
| J2785 | 14 | 50 | 150 | $40 | $8.7K |
| A9500 | 2 | 30 | 90 | $80 | $8.5K |
| 74177 | 89 | 550 | 100 | $70 | $8.5K |
| 77063 | 11 | 480 | 150 | $30 | $8.2K |
| 78452 | 35 | 240 | 60 | $100 | $7.7K |
| 70553 | 21 | 240 | 50 | $100 | $7.1K |
Showing 1–10 of 119
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 20 | $10 | $320 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 60 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 289 | 330 | 810 | $10 | $29.7K |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 81 | 90 | 1,330 | $1 | $70 |
Other providers in the same ZIP code as Riley Smyth, ranked by combined Medicare and Medicaid revenue.
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