Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDerek Mason
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Derek Mason — Billing Profile & Reimbursement Data

    NPI 1396918371 · New York, NY · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Derek Mason — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Derek Mason is a diagnostic radiology physician provider located in New York, New York. This profile covers 8 Medicare and 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDerek Mason
    Address622 W 168th St
    CityNew York
    StateNY
    ZIP10032
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 10, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$454K
    Medicaid$130.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.4,020$60$233K
    71275In 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…620$100$60.4K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.990$60$56.6K
    71046In 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…3,490$10$48.9K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.560$70$39.2K
    75572The provider uses computed tomography (CT) to examine the structure and function of heart. The procedure includes three–dimensional post processing, assessments of the functions of heart, and…90$100$9.6K
    71045In 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…190$10$1.5K
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml40,310$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7125011,30080$60$9.1K
    71275298050$80$5.6K
    710458311,370290$10$5.1K
    7126011,12060$50$5K
    71271146030$90$4.6K
    7557266020$100$3.9K
    7104662,34060$10$2.4K
    Q9967249203,970$1$860

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.4,300$20$86.1K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.680$30$19K
    71046In 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…3,670$10$18.3K
    71045In 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…2,050$1$6.1K
    71275In 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…20$40$620
    G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program700$0$0
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml230$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71275In 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…227290140$180$111.4K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.58260110$110$65.5K
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2213001,210$10$48.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.9410110$70$42.6K
    71046In 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…2021,510230$10$28.7K
    71045In 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…4121,610600$10$16.9K
    G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program1621090$1$30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New York UniversityFLCardiovascular Disease Physician$0$162.4M
    University Hospitals Medical Group IncOHMulti-Specialty Clinic/Center$0$107.5M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    University Primary Care Practices IncOHInternal Medicine Physician$0$78.7M
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    New York UniversityNYDental Clinic/Center$0$42.4M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Partners Physician GroupOHSurgery Physician$0$28.5M
    Behavior Health & Wellness Center, LLCVABehavior Analyst$0$15.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The New York And Presbyterian HospitalNYGeneral Acute Care Hospital$0$455.2M
    Trustees Of Columbia University In The City Of New YorkNYSurgery Physician$0$96.9M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$54.9M
    Columbia University Health Care, Inc.NYDental Clinic/Center$0$29M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$21.4M
    Trustees Of Columbia University In The City Of New YorkNYAnatomic Pathology & Clinical Pathology Physician$254.6K$7.4M
    William SchiffNYOphthalmology Physician$1.9M$430
    Dean PreddieNYNephrology Physician$795.6K$649.2K
    David SilversNYDermatopathology Physician$1.3M$0
    Gaetano BarileNYOphthalmology Physician$1.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Derek Mason — 5 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Derek Mason — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York