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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Medical Imaging, P.C. (NPI 1427057967)

Regional Medical Imaging, P.C. is a diagnostic radiology physician provider located in Flint, Michigan. This profile covers 0 Medicare and 99 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 Medical Imaging, P.C.
Address	3346 Lennon Rd
City	Flint
State	MI
ZIP	48507
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 18, 2005

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

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

99 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…	18,780	$70	$1.4M
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.…	1,240	$610	$751.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	4,760	$110	$533.6K
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…	17,390	$30	$521.8K
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…	7,590	$60	$477.9K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	4,480	$100	$448.1K
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.	6,470	$70	$427.2K
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…	2,580	$160	$407K
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.	2,880	$140	$396.8K
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…	7,570	$50	$386.2K

Showing 1–10 of 99

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Regional Medical Imaging, P.C. — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

99 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.	106	230	2,380	$90	$490K
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…	27	140	870	$130	$261.1K
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.	138	230	1,810	$50	$250.6K
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.…	14	70	150	$320	$182.6K
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.	89	190	1,210	$70	$181.6K
19083	Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.	13	30	270	$280	$157.8K
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…	6	230	1,570	$40	$143.6K
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…	143	160	830	$60	$137.6K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	46	150	930	$60	$132K
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…	65	520	710	$20	$112K

Showing 1–10 of 99

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grygori Gerasymchuk	FL	Diagnostic Radiology Physician	$844.7K	$0
Ehab Youssef	MI	Diagnostic Radiology Physician	$613.8K	$0
Dilraj Ghumman	MI	Diagnostic Radiology Physician	$592K	$0
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K
Darius Gilvydis	IL	Diagnostic Radiology Physician	$364.2K	$4.7K
Arun Kumar	VA	Diagnostic Radiology Physician	$334.3K	$150
Dennis Vollman	MI	Diagnostic Radiology Physician	$297.6K	$0
Anindya Roy	MI	Diagnostic Radiology Physician	$230K	$0
Randy Hicks	MI	Diagnostic Radiology Physician	$198.1K	$0
Miriam Pellerito	MI	Diagnostic Radiology Physician	$147.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesee Health System	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$159.9M
Flint Odyssey House Inc.	MI	Substance Abuse Rehabilitation Facility	$0	$42.4M
First Day Homecare, LLC	MI	Nursing Care Agency	$0	$14.3M
Patriot Ambulance Service, Inc.	MI	Land Ambulance	$1.8M	$12.3M
Jawad A Shah, Md PC	MI	Specialist	$0	$11.5M
Alternative Community Living Inc	MI	Adult Mental Health Clinic/Center	$0	$9.3M
Deluxe Dental Associates PLLC	MI	General Practice Dentistry	$0	$7.6M
Alternative Community Living Inc	MI	Adult Mental Health Clinic/Center	$0	$7M
Swartz Ambulance Service Inc	MI	Ambulance	$205.1K	$6.6M
Family Orthopedic Associates P L C	MI	Orthopaedic Surgery Physician	$0	$6.6M

Regional Medical Imaging, P.C. — Billing Profile & Reimbursement Data

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Regional Medical Imaging, P.C. — 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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