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

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

Birmingham Radiological Group PC (NPI 1376594192)

Birmingham Radiological Group PC is a diagnostic radiology physician provider located in Birmingham, Alabama. This profile covers 0 Medicare and 39 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	Birmingham Radiological Group PC
Address	2000a Southbridge Pkwy
City	Birmingham
State	AL
ZIP	35209
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

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

39 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.	50,020	$20	$1.1M
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.	24,170	$40	$966.6K
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…	193,010	$1	$579K
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.	14,380	$30	$460.1K
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…	39,170	$10	$235K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	1,330	$30	$34.6K
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…	790	$20	$19K
76700	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…	490	$20	$11.2K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	1,450	$10	$8.7K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	1,140	$10	$6.8K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Birmingham Radiological Group PC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

39 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	110	340	$30	$90.9K
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	80	200	$40	$90.3K
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	160	1,080	$1	$46.7K
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	60	130	$30	$32.3K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	16	20	140	$40	$28.2K
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…	4	250	370	$10	$24.6K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	20	80	130	$10	$23.7K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	18	80	190	$30	$20.1K
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…	9	30	120	$30	$18.8K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	29	30	40	$140	$18.2K

Showing 1–10 of 39

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elbert Duncan	MS	Radiation Oncology Physician	$890.5K	$0
Jonathan Davis	AL	Diagnostic Radiology Physician	$530.7K	$0
Adam Kole	AL	Radiation Oncology Physician	$428.9K	$0
Brian Larson	AL	Radiation Oncology Physician	$369.5K	$0
Scott Akin	AL	Diagnostic Radiology Physician	$189K	$52.6K
Michael Jones	GA	Diagnostic Radiology Physician	$233.6K	$0
Colin Stewart	AL	Diagnostic Radiology Physician	$206.7K	$0
Michael Soike	AL	Therapeutic Radiology Physician	$188.6K	$0
Joel Mixon	AL	Diagnostic Radiology Physician	$175.2K	$0
Todd Brightbill	AL	Diagnostic Radiology Physician	$171.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Core Diagnostic Laboratories LLC	AL	Clinical Medical Laboratory	$1.3M	$44.2M
Lab Works, LLC	AL	Clinical Medical Laboratory	$738.4K	$41.6M
Valentines Home Care, Inc.	AL	Durable Medical Equipment & Medical Supplies	$0	$13.6M
Devansh Lab Werks,inc	AL	Clinical Medical Laboratory	$1.9M	$5.9M
Grayson And Associates PC	AL	Psychiatry Physician	$0	$5M
Affinity Acquisitions, LLC	AL	Community Based Hospice Care Agency	$0	$4.8M
Metro Pediatrics PC	AL	Specialist	$0	$4.5M
Proteus Molecular And Clinical Lab LLC	AL	Clinical Medical Laboratory	$236.9K	$3.2M
Greg Eudy	AL	Rheumatology Physician	$3.3M	$0
Luigi Bertoli	AL	Hematology (Internal Medicine) Physician	$2.8M	$0

Birmingham Radiological Group PC — Billing Profile & Reimbursement Data

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Birmingham Radiological Group PC — 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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