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

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

Marcelo Di Carli (NPI 1407841034)

Marcelo Di Carli is a nuclear cardiology physician provider located in Boston, Massachusetts. This profile covers 9 Medicare and 0 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)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Marcelo Di Carli
Address	75 Francis St
City	Boston
State	MA
ZIP	02115
Taxonomy	Nuclear Cardiology Physician
NPI Enumerated	September 20, 2005

Payer Source	Total Paid
Medicare	$63K
Medicaid	$0

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	230	$70	$16.4K
78451	In this procedure, the provider performs a single SPECT study of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	230	$50	$12.2K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	670	$20	$11.5K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	160	$60	$9.9K
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	670	$10	$7.4K
78434	The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…	100	$30	$2.4K
78429	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test with CT transmission scan that tells how the myocardium, the heart muscle, is functioning. The test provides…	20	$70	$1.2K
78830	The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…	20	$60	$1K
78803	The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…	20	$40	$600

Marcelo Di Carli — Billing Profile & Reimbursement Data

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Marcelo Di Carli — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78431	1	20	50	$260	$19.4K
78452	28	340	70	$160	$13.4K
78429	3	10	20	$200	$3.8K
78451	1	30	30	$50	$3.1K
78830	26	30	30	$90	$2.8K
78803	27	40	20	$60	$1.5K
93016	1	330	50	$20	$1.4K
78434	2	10	40	$20	$1.3K
93018	1	370	60	$10	$890