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

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

Radiology Associates Of Children's Hospital, Inc (NPI 1467403261)

Field	Value
Entity Type	Organization
Organization	Radiology Associates Of Children's Hospital, Inc
Address	3401 Civic Center Blvd
City	Philadelphia
State	PA
ZIP	19104
Taxonomy	Pediatric Radiology Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	87,590	$10	$1.1M
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.	7,560	$120	$884.9K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	54,790	$10	$712.3K
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…	13,880	$50	$666.3K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	9,660	$60	$569.8K
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…	4,490	$130	$565.5K
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…	32,310	$20	$549.2K
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.	7,110	$70	$490.7K
74019	Report this code for two X–ray views of the structures and organs in the abdomen to diagnose certain abdominal problems.	4,920	$20	$88.6K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	510	$130	$64.8K

Showing 1–10 of 53

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Radiology Associates Of Children's Hospital, Inc — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	59	100	300	$130	$129.8K
70543	The provider obtains multi–sequence and multi–planar images of the orbits, face, and/or neck initially without the use of contrast and then injects contrast to see additional images and diagnose…	6	10	120	$800	$127.4K
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.	460	480	260	$90	$115.3K
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…	5	150	130	$180	$95K
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.	1	140	100	$160	$71.3K
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.	17	510	250	$40	$56.2K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	109	140	120	$150	$49.4K
49452	Under fluoroscopic guidance, the provider replaces the existing gastrojejunostomy tube through the skin. Providers may exchange the tube when the existing tube becomes dislodged or no longer…	3	10	20	$560	$48.9K
75561	The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…	4	10	50	$450	$37.3K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	186	200	110	$60	$35.2K

Showing 1–10 of 53

Related Providers

Other providers that share a Tax Identification Number (TIN) with Radiology Associates Of Children's Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ali Mian	PA	Diagnostic Radiology Physician	$86.6K	$114.1K
Gregory Nadolski	PA	Vascular & Interventional Radiology Physician	$67.9K	$0
Christopher Grilli	DE	Vascular & Interventional Radiology Physician	$56K	$0
Bryan Pukenas	PA	Radiation Oncology Physician	$51.2K	$0
Robert Hurst	PA	Neuroradiology Physician	$50.9K	$0
Michelle Smith	PA	Neurological Surgery Physician	$40.5K	$0
Jill Langer	PA	Diagnostic Radiology Physician	$38.3K	$0
Susan Rowling	PA	Diagnostic Radiology Physician	$34.1K	$0
Maxim Itkin	DE	Pediatric Radiology Physician	$28.3K	$0
Sara Partington	PA	Adult Congenital Heart Disease Physician	$14.1K	$0

Nearby Providers

Other providers in the same ZIP code as Radiology Associates Of Children's Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Philadelphia	PA	Children's Hospital	$0	$286.9M
Trustees Of The University Of Pennsylvania	PA	General Acute Care Hospital	$0	$84M
House House Rehabilitation Services	PA	Community/Behavioral Health Agency	$0	$32.8M
Childrens Health Care Associates, Inc	PA	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$24.2M
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	General Acute Care Hospital	$0	$23.3M
University Of Penn-medical Group	PA	Emergency Medicine Physician	$0	$21.5M
University Of Penn-medical Group	PA	Diagnostic Radiology Physician	$0	$17.7M
Horizon House, Inc.	PA	Community/Behavioral Health Agency	$0	$13.9M
Tricounty Medical Equipment And Supply, LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$13.1M
Dunbar Strategic Consulting Group	PA	Community/Behavioral Health Agency	$0	$10.8M

Radiology Associates Of Children's Hospital, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References