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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Premier Imaging And Intervention, PLLC (NPI 1285633370)

Premier Imaging And Intervention, PLLC is a diagnostic radiology physician provider located in Ripley, West Virginia. This profile covers 0 Medicare and 60 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Premier Imaging And Intervention, PLLC
Address	122 Pinnell St # 720
City	Ripley
State	WV
ZIP	25271
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 20, 2005

Payer Source	Total Paid
Medicaid	$855.4K
Medicare	$0

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	3,810	$50	$190.3K
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.	2,740	$50	$145.1K
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.	3,920	$30	$98K
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…	12,490	$10	$74.9K
76705	An 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…	2,720	$20	$51.7K
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…	5,490	$10	$43.9K
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…	870	$50	$42.4K
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…	1,270	$20	$30.4K
72131	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material.	1,190	$20	$23.8K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	920	$30	$22.9K

Showing 1–10 of 60

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Premier Imaging And Intervention, PLLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

60 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.	23	80	950	$140	$559.5K
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.	13	80	1,410	$120	$332.8K
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.	26	90	1,380	$60	$273.2K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	25	50	370	$100	$148.6K
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…	23	100	3,310	$10	$140.7K
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…	21	50	470	$100	$135.7K
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…	27	140	1,090	$20	$104.5K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	22	50	470	$70	$98.5K
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…	24	80	390	$40	$80.3K
76705	An 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…	12	70	480	$40	$78.7K

Showing 1–10 of 60

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Hrastich	MO	Diagnostic Radiology Physician	$134.1K	$399.7K
Joseph Skeens	KY	Diagnostic Radiology Physician	$40.2K	$222K
Crysela Smith	TX	Diagnostic Radiology Physician	$249.7K	$0
Michael Anton	WV	Diagnostic Radiology Physician	$241.7K	$0
Adam Evans	OH	Diagnostic Radiology Physician	$223.2K	$0
Nathan Bennington	OH	Diagnostic Radiology Physician	$215.3K	$0
Augustus Key	KY	Diagnostic Radiology Physician	$212.2K	$0
Robert Roach	OH	Diagnostic Radiology Physician	$202.9K	$0
Steven Woolley	OH	Diagnostic Radiology Physician	$190.7K	$0
Jeffrey Tsai	KS	Diagnostic Radiology Physician	$172.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association	WV	Critical Access Hospital	$0	$15.3M
Community Health Association	WV	Rural Health Clinic/Center	$0	$4.4M
Wirt County Health Services Association Inc	WV	Federally Qualified Health Center (FQHC)	$0	$3M
Envision Medical Care, LLC	WV	Family Medicine Physician	$0	$2.6M
Jackson County Commission	WV	Ambulance	$324.9K	$2.2M
Byron Black	WV	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M
Road To Recovery, LLC	WV	Addiction Medicine (Family Medicine) Physician	$0	$1.2M
Community Health Association	WV	Clinic/Center	$0	$1M
Perrine & Staunton Family Dentistry PLLC	WV	Dentist	$0	$898.9K
Nikola Bicak	WV	Podiatrist	$50.5K	$133.2K

Premier Imaging And Intervention, PLLC — Billing Profile & Reimbursement Data

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Premier Imaging And Intervention, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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