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

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

Community Radiology Associates Inc (NPI 1396707782)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Radiology Associates Inc
Address	11120 New Hampshire Ave Ste 100
City	Silver Spring
State	MD
ZIP	20904
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

This profile shows no Medicare billing on file and $27.8M in lifetime Medicaid revenue, meaning Medicaid is the only documented public payer in our claims data for this NPI. The absence of Medicare claims makes the provider effectively single‑payer (Medicaid) in the available dataset, which has direct implications for payer mix and reimbursement exposure.

Revenue is highly concentrated: the top three Medicaid codes account for 40.6% of this provider’s total Medicaid revenue. Those top contributors are 77067 ($6.2M, 24.3% of Medicaid revenue), 77063 ($2.4M, 9.4%), and 72148 ($1.8M, 6.9%), indicating a small set of services generates a large share of cashflow.

Service‑line mix is dominated by high‑volume breast imaging: the two leading codes are 77067 (67.9K claims) and 77063 (62.4K claims), which are screening and tomosynthesis mammography services. These claim counts and the revenue mix suggest a high‑throughput mammography operation or centralized breast imaging program as a primary business line for the practice.

The practice is multi‑modal within diagnostic radiology, with substantial Medicaid revenue from MRI and ultrasound in addition to mammography. Examples include 72148 (lumbar MRI, $1.8M), 76700 (abdominal ultrasound, $1.7M), 73721 (lower extremity MRI, $1.5M), and 70553 (brain MRI with and without contrast, $1.4M), indicating capacity across MRI, ultrasound, CT, and plain radiography.

Competitive standing within Maryland is consistently above typical state volumes for many codes: 77067 ranks #2 of 50 providers (98th percentile; extreme outlier) and 76700 ranks #1 of 34 (100th percentile; extreme outlier). Multiple other codes are at the 95th–100th percentile or labeled as extreme outliers (for example, 76642, 76856, 73562, and 72110 at 100th percentile), signaling the provider is a dominant statewide player for several specific imaging services.

Many individual CPT/HCPCS lines are state‑level outliers or notably above typical volume, which reinforces competitive strength but also operational concentration. High percentile ranks catalogued across mammography, ultrasound, and MRI (e.g., 77067 and 77063 at 98th percentile; 76700 at 100th) imply the provider captures atypically large Medicaid volumes for these studies in Maryland.

The concentration on a few high‑volume codes introduces operational and revenue risk tied to those service lines: with 40.6% of Medicaid revenue coming from the top three codes and mammography codes accounting for the largest single shares, shifts in reimbursement, referral patterns, or screening programs could materially affect revenue. This profile suggests monitoring utilization trends for mammography and spinal MRI where the provider’s exposure is greatest.

The NPI was enumerated on 2006-04-03 (~20 years ago), indicating an established presence in the market. That tenure, combined with the high state‑level ranks and large claim volumes, supports the interpretation of a long‑standing, high‑capacity diagnostic radiology operation focused on breast imaging and multi‑modality diagnostics.

Medicaid: Complete Services Breakdown

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

86 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	67,870	$90	$6.2M
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	62,370	$40	$2.4M
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	13,720	$130	$1.8M
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…	23,180	$70	$1.7M
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	10,200	$150	$1.5M
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	19,760	$70	$1.5M
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…	6,180	$230	$1.4M
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…	22,900	$60	$1.4M
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.	7,130	$140	$1M
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	6,910	$140	$932.2K

Showing 1–10 of 86

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Community Radiology Associates Inc — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

86 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	50	590	$90	$493.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	41	60	370	$70	$195.6K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	2	30	80	$150	$183.1K
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.…	3	20	80	$310	$177.5K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	2	40	760	$40	$171.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	2	40	150	$120	$169K
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…	2	20	140	$150	$161.8K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	11	60	270	$90	$155.3K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	2	10	110	$120	$152K
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.	16	110	390	$70	$148K

Showing 1–10 of 86

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mission Autism Clinics LLC	MD	Behavior Analyst	$0	$21.6M
Children's Pediatricians & Associates, LLC	MD	Pediatrics Physician	$0	$17.5M
Dr. Camps Pediatric Dental Center	MD	Pediatric Dentistry	$0	$16.1M
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$12.8M
White Oak Pediatrics Drs Battiata & Impeduglia PA	MD	Pediatrics Physician	$0	$12.3M
Jsk Care Group, LLC	MD	Adult Day Care Clinic/Center	$0	$11.8M
Rock Creek Foundation For Mental Health Inc	MD	Developmental Disabilities Clinic/Center	$0	$10.2M
Adventist Healthcare, Inc.	MD	General Acute Care Hospital	$0	$4.5M
Kashif Ali	MD	Hematology & Oncology Physician	$3.6M	$0
David Heydt	MD	Anatomic Pathology Physician	$1.1M	$0

Community Radiology Associates Inc — Billing Profile & Reimbursement Data

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Community Radiology Associates Inc — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ethan Spiegler	MD	Nuclear Radiology Physician	$2.9M	$0
Karolyn Kerr	NY	Diagnostic Radiology Physician	$1.8M	$676.7K
John Schreiber	MD	Diagnostic Radiology Physician	$2.3M	$0
Thomas Lank	MD	Diagnostic Radiology Physician	$2.2M	$0
Khiet Nguyen	MD	Diagnostic Radiology Physician	$1.6M	$0
Kevin Berger	MD	Diagnostic Radiology Physician	$1.6M	$0
Bethlehem Gelaw	KS	Diagnostic Radiology Physician	$1.5M	$1.3K
L Harris Mccorkle	MD	Diagnostic Radiology Physician	$1.3M	$0
Mukul Das	MD	Vascular & Interventional Radiology Physician	$1.2M	$0
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0