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

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

Regional Diagnostic Radiology (NPI 1417935321)

Regional Diagnostic Radiology is a diagnostic radiology physician provider located in Sartell, Minnesota. This profile covers 0 Medicare and 84 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	Regional Diagnostic Radiology
Address	1990 Connecticut Ave S
City	Sartell
State	MN
ZIP	56377
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

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

84 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.	22,260	$50	$1M
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.	25,300	$20	$505.9K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	11,970	$30	$335.1K
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.	7,310	$40	$292.4K
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…	49,820	$10	$249.1K
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…	10,490	$20	$199.3K
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…	48,910	$1	$195.6K
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…	2,380	$60	$149.8K
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…	9,760	$20	$146.4K
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.	2,730	$40	$109.1K

Showing 1–10 of 84

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Regional Diagnostic Radiology — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

84 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.	6	160	110	$50	$172.2K
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…	7	40	320	$80	$153.6K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	4	40	300	$40	$123.1K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	6	40	150	$70	$103.5K
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.	6	160	170	$30	$95.7K
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.	5	30	330	$50	$87.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	35	80	390	$60	$84.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	8	40	140	$80	$84.4K
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.	4	20	120	$70	$80.6K
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…	5	110	360	$40	$79.2K

Showing 1–10 of 84

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Hall	LA	Diagnostic Radiology Physician	$441.4K	$18.8K
Cody Evans	NE	Diagnostic Radiology Physician	$308.9K	$0
Jonathan Masur	PA	Diagnostic Radiology Physician	$307K	$0
Seth Stein	NJ	Diagnostic Radiology Physician	$197.4K	$0
Bipin Rajendran	VA	Diagnostic Radiology Physician	$163K	$0
Daniel Measel	GA	Diagnostic Radiology Physician	$162.4K	$0
Jeri Plaxco	AL	Diagnostic Radiology Physician	$140.9K	$16.6K
Michael Cumming	MN	Vascular & Interventional Radiology Physician	$154.5K	$0
Blake Saltaformaggio	TN	Diagnostic Radiology Physician	$118.9K	$0
Thomas Bowden	NE	Diagnostic Radiology Physician	$117.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Central Lakes, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$122.1M
Sleep Therapy	MN	Durable Medical Equipment & Medical Supplies	$0	$11.6M
Northway Academy, Inc.	MN	Community/Behavioral Health Agency	$0	$10.5M
Centracare Clinic	MN	Primary Care Clinic/Center	$0	$6.1M
Dale Reynolds	MN	Ophthalmology Physician	$5.6M	$0
Foundations Autism Center LLC	MN	Adolescent and Children Mental Health Clinic/Center	$0	$4.7M
Vamsi Gullapalli	MN	Ophthalmology Physician	$380.4K	$17.4K
Charles Cunningham	MN	Diagnostic Radiology Physician	$256.8K	$0
Barry Labine	MN	Dermatology Physician	$201.4K	$0
Mats Liden	MN	Diagnostic Radiology Physician	$172.4K	$0

Regional Diagnostic Radiology — Billing Profile & Reimbursement Data

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Regional Diagnostic Radiology — 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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