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

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

Michael Redd (NPI 1326239559)

Field	Value
Entity Type	Individual
Organization	Michael Redd
Address	18511 Highlander Medics St
City	Fort Bliss
State	TX
ZIP	79906
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	August 5, 2007

Payer Source	Total Paid
Medicare	$9K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in diagnostic CT and plain radiography: the top billed services are 74176 ($1.9K, 30 claims, $64 avg paid/claim), 71250 ($1.6K, 41 claims, $39 avg paid/claim), and 71045 ($1.2K, 173 claims, $7 avg paid/claim), which aligns with the Diagnostic Radiology Physician taxonomy. The code descriptions indicate routine cross-sectional imaging of the abdomen/pelvis and chest CTs plus high-volume single-view chest X-rays, consistent with a practice focused on diagnostic imaging rather than interventional radiology or advanced procedures.

Revenue concentration is high within a small set of procedures: the precomputed top 3 Medicare codes account for 52.3% of this provider’s total Medicare revenue, with those codes contributing $1.9K, $1.6K, and $1.2K respectively. That degree of concentration implies the provider’s Medicare revenue stream is dependent on a narrow mix of CT and chest radiography services.

This provider’s overall Medicare scale is small: lifetime Medicare revenue is $9K and there is no Medicaid billing on file, so the provider is effectively single-payer from a public-program perspective. The absence of any Medicaid revenue on file (none below) means payer-mix analysis must treat this profile as Medicare-dominant with no measurable Medicaid activity.

National competitive standing on the top codes is modest to low: 74176 ranks #17110 of 22168 providers nationally (22th percentile; typical, unremarkable volume for this code), 71250 ranks #14950 of 21854 providers nationally (31th percentile; typical, unremarkable volume for this code), and 71045 ranks #16965 of 25249 providers nationally (33th percentile; typical, unremarkable volume for this code). These percentiles and the provided “typical, unremarkable volume for this code” label indicate the provider is not a high-volume national performer for its primary procedures.

Several secondary CT and radiography codes also show low national placement, reinforcing modest scale rather than selective specialization: 70450 ($1.1K) ranks #17928 of 21092 (15th percentile; typical, unremarkable volume for this code), 74177 ($1.1K) ranks #22249 of 23621 (5th percentile; typical, unremarkable volume for this code), and 71275 ($792) ranks #18470 of 19107 (2th percentile; typical, unremarkable volume for this code). While these procedures are part of the same diagnostic imaging set, their low percentiles suggest limited Medicare caseload relative to national peers.

The provider’s tenure in the NPI file is long-standing — enumerated 2007-08-05 (~19 years ago) — which indicates an established billing identity despite low Medicare revenue totals. The combination of long enumeration and low lifetime Medicare revenue ($9K) suggests either limited Medicare-facing clinical hours, episodic billing relationships, or a practice model that generates most reimbursement outside Medicare.

Taken together, the data portray a diagnostic radiology practice that is operationally focused on routine CT and X-ray services, generates a total of $9K from Medicare across a concentrated set of procedures (top 3 = 52.3% of Medicare revenue), and shows modest national presence for those procedures. For payers and network planners, this profile signals an established but low-volume Medicare imaging provider with no Medicaid claims to evaluate for in-state network capacity or reimbursement benchmarking.

Medicare: Complete Services Breakdown

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

12 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.	30	$60	$1.9K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	40	$40	$1.6K
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…	170	$10	$1.2K
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.	40	$30	$1.1K
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.	20	$70	$1.1K
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…	10	$70	$790
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	20	$40	$580
73700	In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity.	10	$40	$430
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	20	$10	$110
73502	In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…	10	$10	$90

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Michael Redd — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	2	1,940	90	$80	$10.7K
70450	2	1,410	170	$30	$7.9K
74176	2	1,700	60	$70	$6.2K
71275	1	1,370	50	$70	$5K
71250	1	1,700	60	$50	$4.6K
71045	1	1,870	370	$10	$3.8K
72125	2	1,200	60	$40	$3.3K
73700	1	580	20	$50	$1.8K
73502	1	2,280	40	$20	$1.3K
73030	1	2,450	40	$20	$1.1K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
NPI 1063405082	—	—	$2.1M	$0
Smb Radiology P A	MS	Diagnostic Radiology Physician	$0	$1.3M
Timothy Mccalmont	CA	Dermatopathology (Pathology) Physician	$1M	$0
Jascha Rubin	PA	Hematology & Oncology Physician	$747.8K	$0
Thomas Nguyen	CA	Diagnostic Radiology Physician	$639.4K	$0
Thomas Reilly	NJ	Diagnostic Radiology Physician	$618.2K	$50
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Eric Flagg	CA	Diagnostic Radiology Physician	$491.4K	$91.8K
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
December Nine Company Ltd	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.1M
Zachary Weber	TX	Orthopedic Physical Therapist	$5.8K	$0

Michael Redd — Billing Profile & Reimbursement Data

Sign up for Michael Redd — Billing Profile & Reimbursement Data policy alerts

Michael Redd — Billing Profile & Reimbursement Data

Sign up for Michael Redd — Billing Profile & Reimbursement Data policy alerts

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