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NPI 1326153701 · San Juan, PR · Diagnostic Radiology Physician
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Jeffrey Zuckerman is a diagnostic radiology physician provider located in San Juan, Puerto Rico. This profile covers 40 Medicare and 1 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 | Jeffrey Zuckerman |
| Address | 596 Calle Cesar Gonzalez Apt 1822 |
| City | San Juan |
| State | PR |
| ZIP | 00918 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | August 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $131.1K |
| Medicaid | $2.1K |
Provider is a diagnostic radiology physician with a pronounced CT-focused service mix: the top Medicare revenue drivers are 70450 (CT head without contrast, $20.6K, 644 claims), 71275 (CTA chest with contrast, $19.7K, 289 claims) and 74177 (CT abdomen/pelvis with contrast, $19.5K, 291 claims). These three high-volume CT codes, together with additional contrast CT codes (e.g., 70496, 70498, 74176), indicate the operation centers on high-throughput CT imaging including angiographic and contrast-enhanced studies rather than MRI or interventional procedures.
Revenue concentration on Medicare is elevated: the top 3 Medicare codes by revenue account for 46.7% of this provider’s total Medicare revenue, signaling that a relatively small set of CT and CTA services drive nearly half of Medicare receipts. Several secondary CT and ultrasound codes add diversification, but overall the Medicare book is concentrated around advanced CT examinations.
Payer mix is heavily Medicare-dominant: lifetime Medicare revenue is $131.1K versus lifetime Medicaid revenue of $2.1K, and Medicaid billing is effectively single-code here. The provider’s Medicaid activity is minimal compared to Medicare and is not a material portion of business volume.
National competitive standing on key CPTs is mixed but notable: 71275 ranks #275 of 19107 providers nationally (99th percentile) and is described as an "extreme outlier, far above typical national volume for this code," indicating this provider is a major national outlier for CTA chest volume. 70450 ranks #1160 of 21092 (94th percentile) and is "notably above typical national volume," showing above-average head CT activity, while 74177 sits at the 88th percentile (rank #2731 of 23621) which is characterized as typical for national volume.
State-level Medicaid competitiveness is modest: Medicaid 70450 (CT head without contrast) generated all reported Medicaid revenue ($2.1K across 46 claims) but ranks #71 of 80 providers in-state (11th percentile), indicating relatively low Medicaid CT head volume compared with in-state peers despite higher Medicare volume on the same code. This suggests the provider’s Medicaid presence is limited and concentrated in a single service line.
Operational detail: the specifics of billed codes and descriptions show routine use of contrast-enhanced CT angiography and post-processing (e.g., 71275, 74174, 70496, 70498) alongside non-contrast CTs and limited ultrasound and vascular duplex studies (e.g., 76705, 93880, 93971). This mix points to capabilities for vascular imaging and cross-sectional diagnostic CT workflows with supporting sonography rather than a practice focused primarily on MRI or nuclear medicine.
Payment-level detail and payer differences are visible in the 70450 activity: Medicare average paid/claim for 70450 is $32 with $20.6K revenue, while Medicaid shows $46 avg paid/claim for the same code with $2.1K revenue across 46 claims, highlighting that the provider’s Medicaid volume is small but that per-claim reimbursements for that code differ between payers as reported. Analysts should note the small Medicaid claim count when interpreting per-claim averages.
Provider tenure is long-standing: the NPI was enumerated on 2006-08-19 (≈20 years ago), indicating an established billing history which supports comparing current code-level concentrations and outlier status against a stable practice presence rather than a recently entered provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
40 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 640 | $30 | $20.6K |
| 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… | 290 | $70 | $19.7K |
| 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. | 290 | $70 | $19.5K |
| 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. | 180 | $70 | $12.1K |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 210 | $40 | $7.8K |
| 70498 | The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in… | 90 | $70 | $5.9K |
| 70496 | The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in… | 80 | $70 | $5.3K |
| 74174 | In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a… | 60 | $80 | $4.6K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 110 | $40 | $4.3K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 90 | $40 | $3.9K |
Showing 1–10 of 40
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 50 | $50 | $2.1K |
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 71 | 80 | 1,150 | $50 | $125.5K |
Other providers in the same ZIP code as Jeffrey Zuckerman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Laboratorio De Patologia Dr Noy | PR | Anatomic Pathology Physician | $0 | $45.7M |
| Hato Rey Pathology Associates Inc | PR | Clinical Medical Laboratory | $58.5K | $42M |
| Home Orthopedics Corp | PR | Prosthetic/Orthotic Supplier | $0 | $20.7M |
| Orthobone, Inc | PR | Customized Equipment (DME) | $0 | $15.5M |
| Smith & Nephew Inc. | PR | Prosthetic/Orthotic Supplier | $0 | $12M |
| Laboratorio Clinico Noy Inc | PR | Clinical Medical Laboratory | $76.1K | $9.9M |
| Servicios Radiologicos Asociados Jorge Perez Brais | PR | Diagnostic Radiology Physician | $0 | $2.9M |
| Luis Torres Vera | PR | Allergy Physician | $21.5K | $2.7M |
| Inspira Psychiatric Services Psc | PR | Adult Mental Health Clinic/Center | $0 | $2.5M |
| Frankie Alvarado | PR | Pulmonary Disease Physician | $7.3K | $2.4M |
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