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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Medstar Medical Group Radiology, LLC (NPI 1326450156)

Key Findings

Field	Value
Entity Type	Organization
Organization	Medstar Medical Group Radiology, LLC
Address	110 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 28, 2014

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

This provider reports no Medicare billing on file and is effectively a single-payer (Medicaid) operation in the available data set, with total Medicaid revenue of $17.5M. The absence of Medicare activity makes Medicaid the sole reported federal payer for the provider's billed services in this profile.

The provider's NPI was enumerated on 2014-05-28 (~12 years ago), indicating more than a decade of active enrollment during which this Medicaid billing footprint was built. Tenure at this scale is consistent with an established imaging practice rather than a short‑term or newly formed clinic.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes by revenue account for 51.0% of this provider's total Medicaid revenue. Those top three are 74177 ($3.7M, 23.2%), 70450 ($2.7M, 16.9%), and 71275 ($1.7M, 10.9%), together driving a majority of reported Medicaid dollars.

The code mix shows a multimodality diagnostic imaging operation concentrated on high-volume CT and cross-sectional studies alongside radiography, mammography, MRI, and ultrasound. High-volume CT entries include 74177 (68.4K claims, $54 avg paid/claim), 70450 (107.2K claims, $25 avg paid/claim), and 71275 (28.9K claims, $60 avg paid/claim); the mix also includes large chest X‑ray volumes such as 71045 (299.2K claims, $4 avg paid/claim) and screening/diagnostic mammography codes like 77067 (15.2K claims, $69 avg paid/claim).

State competitive standing is concentrated and dominant for core imaging services: the provider ranks #1 in-state and at the 100th percentile for many top codes (for example 74177 #1 of 21, 70450 #1 of 25, 71275 #1 of 13, 71045 #1 of 38), with several of those explicitly labeled as “extreme outlier” volumes compared with typical state providers. This pattern indicates a leading statewide role in Medicaid imaging for those studies rather than a modest or marginal share.

Not all code ranks imply unusually high utilization: some services show typical or unremarkable volumes despite the provider being a top in-state reporter. For example, 77066 is #4 of 12 providers (73th percentile; typical, unremarkable volume), and G9637 is reported as #1 of 3 providers but is described in the source as having typical, unremarkable volume for that code.

Operationally, the profile pairs very high claim counts for low‑paid, high-throughput imaging (e.g., 71045 at 299.2K claims with $4 avg paid/claim and 70450 at 107.2K claims with $25 avg) with a portfolio of higher‑reimbursement cross‑sectional studies (e.g., 74177 $54 avg, 71275 $60 avg). This mix suggests an organization optimized for volume-driven imaging throughput across multiple modalities rather than a narrow, high‑acuity subspecialty practice.

Several additional modalities and subspecialty studies appear in the top codes (MRI brain 70553 $478.7K; MRI brain noncontrast 70551 $416.1K; vascular duplex 93975 $395.8K; cervical spine CT 72125 $384.5K), reinforcing that the provider offers a broad range of diagnostic imaging services that together create the reported $17.5M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

117 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	68,370	$50	$3.7M
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.	107,210	$30	$2.7M
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…	28,940	$60	$1.7M
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…	299,160	$1	$1.2M
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…	15,210	$70	$1M
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.	16,260	$40	$699.2K
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…	114,480	$10	$686.9K
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…	7,250	$70	$478.7K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	10,150	$40	$416.1K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	10,150	$40	$395.8K

Showing 1–10 of 117

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Medstar Medical Group Radiology, LLC — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

117 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.	1	30	1,320	$110	$1M
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.	1	20	660	$120	$788.6K
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…	1	10	1,260	$140	$568.1K
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.	1	10	2,480	$150	$499.8K
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.…	4	10	370	$800	$458.7K
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…	1	10	1,290	$240	$436.4K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	1	10	2,470	$120	$359.1K
76642	In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.	4	10	1,790	$100	$277.5K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	4	20	870	$140	$269.2K
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	20	1,910	$60	$258.3K

Showing 1–10 of 117

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammed Razvi	MD	Vascular & Interventional Radiology Physician	$3.4M	$0
Hyun Bang	MD	Vascular & Interventional Radiology Physician	$1.5M	$840
Gabriel Soudry	MD	Nuclear Medicine Physician	$612.9K	$0
Helen Sax	DE	Diagnostic Radiology Physician	$508.5K	$0
Victor Yu	VA	Vascular & Interventional Radiology Physician	$418K	$0
Lee Monsein	DC	Neuroradiology Physician	$337.7K	$520
Thomas Dziedzic	NC	Diagnostic Radiology Physician	$324.4K	$0
Amit Kalaria	MD	Vascular & Interventional Radiology Physician	$272.5K	$0
Kaustubh Yadwadkar	DC	Diagnostic Radiology Physician	$261.9K	$0
Jamel Reid	MD	Diagnostic Radiology Physician	$261.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M
Capital Area Renal Associates, PC	DC	Internal Medicine Physician	$0	$3.6M

Medstar Medical Group Radiology, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References