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    OpenPayerNPI Medicare & MedicaidBrendan Skonieczki
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    Brendan Skonieczki — Billing Profile & Reimbursement Data

    NPI 1447478524 · Dover, DE · Diagnostic Radiology Physician

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    Brendan Skonieczki is a diagnostic radiology physician provider located in Dover, Delaware. This profile covers 47 Medicare and 5 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
    OrganizationBrendan Skonieczki
    Address640 S State St
    CityDover
    StateDE
    ZIP19901
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 23, 2007

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

    Payer SourceTotal Paid
    Medicare$375.1K
    Medicaid$17.2K

    Key Findings

    BRENDAN SKONIECZKI’s billing profile is dominated by diagnostic breast imaging: Medicare top codes 77067 ($136.2K, 38.7% of Medicare revenue) and 77063 ($58.4K, 16.6% of Medicare revenue) are the largest single contributors, and the same two codes drive the majority of his Medicaid revenue (77067 $11.6K, 68.2% of Medicaid revenue; 77063 $4.7K, 27.4% of Medicaid revenue). The presence of biopsy codes 19081 and 19083 at smaller volumes suggests ancillary interventional breast services but not a primary revenue stream.

    Revenue concentration is high: the provider’s top three Medicare codes account for 61.9% of total Medicare revenue and the top three Medicaid codes account for 97.4% of total Medicaid revenue, indicating a tight dependence on a small set of imaging procedures to generate the bulk of payer income. Total Medicare revenue on file is $375.1K versus total Medicaid revenue of $17.2K, reinforcing that most clinical activity (and reimbursement) is captured through Medicare.

    The payer mix is effectively Medicare‑centric: Medicare revenue ($375.1K) dwarfs Medicaid revenue ($17.2K), so operational and growth decisions are likely to be driven by Medicare demand and reimbursement dynamics rather than Medicaid volumes. Medicaid appears to be a minor contributor to overall practice revenue despite the same breast imaging codes dominating the small Medicaid footprint.

    National competitive standing for mammography and tomosynthesis is strong: for Medicare, 77067 ranks #291 of 15198 providers (98th percentile) and 77063 ranks #259 of 14277 providers (98th percentile), described in the source as "notably above typical national volume." This positions the provider as a high‑volume mammography/tomosynthesis resource relative to national peers.

    There is an additional national outlier in lung screening: 71271 (LDCT) shows 246 claims, $17K revenue and ranks #112 of 8424 providers (99th percentile; characterized as an "extreme outlier, far above typical national volume"). That suggests a significant LDCT screening activity beyond the core breast imaging business that could represent an additional service line of note.

    Medicaid competitive standing is modest despite high code concentration: in‑state ranks for Medicaid breast codes are low relative to peers (77067 ranks #17 of 20, 16th percentile; 77063 ranks #16 of 19, 17th percentile), meaning the provider’s Medicaid breast imaging volumes are small compared with other in‑state providers even though those codes make up most of his Medicaid revenue.

    The provider maintains substantial cross‑sectional imaging capability beyond mammography: Medicare CT abdomen/pelvis codes such as 74177 ($23.3K), 74176 ($14.5K) and 74178 ($13.7K) and thoracic CT codes 71250 ($16.9K) and 71260 ($3.9K) appear in the top Medicare code list, indicating routine CT services for abdominal/pelvic and thoracic indications in addition to breast imaging.

    Practice longevity is established: the NPI was enumerated 2007-04-23 (~19 years ago), indicating a long tenure in the Medicare/Medicaid billing system that supports observed high volumes in select imaging codes and stable operations over time.

    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…1,920$70$136.2K
    77063The 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…1,950$30$58.4K
    74177The 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.200$120$23.3K
    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.250$70$17K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.340$50$16.9K
    74176The 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.200$70$14.5K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…100$130$13.7K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…190$50$8.8K
    77049The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…50$140$6.4K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.70$90$5.6K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067140530$70$55.8K
    77063130560$40$28.7K
    741774360180$80$19.8K
    206109812060$50$12.4K
    7372183050$120$11.3K
    74176760110$70$10.2K
    71250660150$50$10.1K
    7127112090$90$10K
    7322193050$120$8.5K
    7704921060$120$7.8K

    Showing 1–10 of 47

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…100$110$11.6K
    77063The 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…100$50$4.7K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…20$20$300
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.30$10$290
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$10$150

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067The 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…17201,230$50$122.3K
    77063The 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…16201,350$20$41.6K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.28301,520$10$28.8K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.1920880$20$22.3K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…1920350$10$9.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Allen RothpearlNYDiagnostic Radiology Physician$433.2K$12.2M
    Delaware Radiology Associates PADEDiagnostic Radiology Physician$0$4.4M
    Esther CoronelNYDiagnostic Radiology Physician$3.3M$162.2K
    Karolyn KerrNYDiagnostic Radiology Physician$1.8M$676.7K
    Southern Delaware Imaging AssocDEDiagnostic Radiology Physician$0$2.3M
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Jason ChalifouxNYStudent in an Organized Health Care Education/Training Program$1.1M$83.2K
    Hugo IsuaniTXDiagnostic Radiology Physician$1.2M$0
    Michael SingerNYDiagnostic Radiology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$79.3M
    Bayhealth Emergency Physicians LLCDEEmergency Medicine Physician$0$16.7M
    Ahl And O'connor Orthodontics, LLCDEOrthodontics and Dentofacial Orthopedics Dentistry$0$12.5M
    Bayhealth Medical Center, IncDEColon & Rectal Surgery Physician$0$12.4M
    State Of DelawareDEMental Health Clinic/Center (Including Community Mental Health Center)$0$8.2M
    The Children's Secret GardenDEMedically Fragile Infants and Children Day Care$0$8.1M
    Apogee Medical Group, Delaware, IncDEInternal Medicine Physician$0$7.9M
    First State Oral And Maxillofacial Surgery CorpDEOral and Maxillofacial Surgery (Dentist)$0$5M
    Jamie AhlDEOrthodontics and Dentofacial Orthopedics Dentistry$0$4.9M
    Kent Diagnostic Radiology Associates PADEDiagnostic Radiology Physician$0$4.6M

    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. Delaware Distribution
    Brendan Skonieczki — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware
    Medicaid Revenue by Year vs. Delaware Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Brendan Skonieczki — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware