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NPI 1336192665 · Indianapolis, IN · Diagnostic Radiology Physician
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Indiana University Radiology Associates, Inc. is a diagnostic radiology physician provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 187 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 | Organization |
| Organization | Indiana University Radiology Associates, Inc. |
| Address | 1701 N Senate Blvd |
| City | Indianapolis |
| State | IN |
| ZIP | 46202 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | May 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $47.8M |
| Medicare | $0 |
This practice is effectively a Medicaid-focused imaging provider: it reports Total Medicaid revenue of $47.8M and has no Medicare billing on file, so all documented fee-for-service volume and revenue in our data come from Medicaid. The absence of Medicare billing means payer-mix risk is concentrated entirely in Medicaid payments and policy/settings impacting that program will drive topline performance.
Revenue is highly concentrated in a small set of high-volume CT and radiography studies: the top three Medicaid codes account for 44.2% of total Medicaid revenue, led by 74177 at $10.5M (25.2%), followed by 70450 at $4.7M (11.4%), and 71045 at $3.2M (7.6%). These three codes alone generate nearly half of reported Medicaid revenue, indicating dependence on core CT and chest X‑ray services for financial performance.
The provider operates at an exceptionally high statewide scale for many imaging procedures: for example, 74177 (138.2K claims, $10.5M) ranks #1 of 147 in-state as an extreme outlier (100th percentile), and 70450 (143.8K claims, $4.7M) also ranks #1 of 166 in-state (100th percentile). Multiple other high‑revenue codes (71045, 70553, 71046, 70551, 71260, etc.) similarly rank at or near the top of in-state volume lists, signaling market dominance across CT, MRI, and radiography modalities in Indiana.
The code mix indicates a broad, high-throughput diagnostic imaging operation with multi-modality capability: dominant volumes in CT abdomen/pelvis (74177), CT head (70450), and chest radiography (71045/71046) combined with substantial MRI brain (70553/70551), CT angiography (71275/71260), mammography/tomosynthesis (77067/77063), ultrasound (76770/76705), and PET/CT (78815). This suggests the group provides both routine high-volume diagnostic imaging and more advanced cross-sectional and nuclear imaging services.
Competitive standing is concentrated and outsized versus state peers: many top codes are labeled “extreme outlier” and rank #1 in the state (100th percentile), while select CTA and tomosynthesis lines (e.g., 71275 and 77063) are 98–99th percentile outliers. That pattern is consistent with a dominant regional provider that captures exceptional share for numerous imaging CPTs relative to other Indiana providers.
Although primary revenue drivers are diagnostic imaging, the practice also bills image-guided therapeutic/interventional procedures and procedure-support codes: 49083 (image-guided paracentesis) brought in $639.2K and ranks #1 of 11 in-state, while 36572 (image-guided PICC placement in young children) generated $318.6K and is the only reporter in-state. These higher-paid, lower-volume items demonstrate capacity for procedural imaging and peri-procedural radiology support beyond pure interpretation.
Operational scale is visible in raw claim counts and low per-claim payments for high-volume radiography: 71045 shows 455.4K claims at $7 avg paid/claim ($3.2M revenue), and 71046 shows 250.9K claims at $9 avg paid/claim ($2.3M revenue). The combination of very large claim volumes with modest per-claim Medicaid payments implies throughput-driven margins for routine chest radiography services.
Tenure supports an established regional presence: the NPI was enumerated on 2006-05-18 (~20 years ago), indicating long-standing enrollment and likely sustained relationships with hospitals, clinics, or health systems that generate the high imaging volumes reflected in the Medicaid data.
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.
187 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. | 138,230 | $80 | $10.5M |
| 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. | 143,780 | $30 | $4.7M |
| 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… | 455,410 | $10 | $3.2M |
| 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… | 26,780 | $100 | $2.6M |
| 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… | 250,870 | $10 | $2.3M |
| 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… | 30,160 | $70 | $2.1M |
| 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. | 26,680 | $60 | $1.7M |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 35,420 | $50 | $1.6M |
| 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… | 45,840 | $30 | $1.5M |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 35,730 | $30 | $1.2M |
Showing 1–10 of 187
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
187 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. | 1 | 150 | 440 | $100 | $545.6K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,077 | 2,120 | 870 | $60 | $450.6K |
| 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… | 1 | 220 | 1,850 | $30 | $449.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,907 | 2,380 | 920 | $50 | $376.8K |
| 36572 | Under imaging guidance, the provider places a catheter through the basilic or cephalic vein in the arm and directs it into one of the major veins carrying blood to the heart or directly into the… | 1 | 10 | 820 | $390 | $318.3K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 331 | 530 | 740 | $30 | $210K |
| 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 | 170 | 430 | $30 | $192.2K |
| 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… | 1 | 270 | 470 | $30 | $171.9K |
| 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… | 1 | 40 | 290 | $90 | $163.8K |
| 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… | 2 | 60 | 180 | $60 | $159.6K |
Showing 1–10 of 187
Other providers in the same ZIP code as Indiana University Radiology Associates, Inc., ranked by combined Medicare and Medicaid revenue.
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