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

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

Cape Radiology Group, P.C. (NPI 1477506392)

Field	Value
Entity Type	Organization
Organization	Cape Radiology Group, P.C.
Address	70 Doctors Park
City	Cape Girardeau
State	MO
ZIP	63703
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

100 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.	23,010	$40	$897.2K
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.	37,730	$20	$754.5K
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.	15,650	$30	$532K
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…	119,260	$1	$357.8K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	8,140	$40	$301.3K
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…	5,120	$60	$297K
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…	52,150	$10	$260.8K
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…	18,410	$10	$202.5K
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…	4,540	$40	$172.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	4,040	$40	$157.5K

Showing 1–10 of 100

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Cape Radiology Group, P.C. — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

100 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	116	190	270	$70	$91.4K
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.	3	240	140	$60	$80.2K
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…	3	80	130	$110	$72.4K
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.	2	250	270	$40	$67.9K
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…	2	420	660	$10	$51.7K
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.	3	70	110	$90	$47.2K
49083	In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…	5	10	120	$120	$41.9K
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	20	130	$80	$40.3K
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…	1	100	310	$30	$35.8K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	13	150	130	$60	$35.3K

Showing 1–10 of 100

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cape Radiology Group, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Thomas	MO	Diagnostic Radiology Physician	$249.4K	$735.2K
Terrence Chambers	IN	Diagnostic Radiology Physician	$152.4K	$700.7K
Justin Hodge	MO	Diagnostic Radiology Physician	$111.9K	$735.6K
Christopher Russell	MO	Diagnostic Radiology Physician	$126K	$504K
Frederick Harris	MO	Diagnostic Radiology Physician	$117.5K	$467.5K
Matthew Bokermann	MO	Diagnostic Radiology Physician	$57.1K	$514.9K
James Borders	MO	Diagnostic Radiology Physician	$423.1K	$108.8K
Derek Fimmen	CO	Diagnostic Radiology Physician	$140.8K	$366.6K
Theodore Swartz	MO	Diagnostic Radiology Physician	$100.9K	$386.6K
Huan Nguyen	MO	Diagnostic Radiology Physician	$240.4K	$223.1K

Nearby Providers

Other providers in the same ZIP code as Cape Radiology Group, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Counseling Center	MO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$91.4M
Saint Francis Medical Center	MO	General Acute Care Hospital	$0	$56.4M
Semo Alliance For Disability Independence, Inc.	MO	Attendant Care Provider	$0	$27.3M
Regency Management, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18M
Blue Sky Cimmunity Services	MO	Developmentally Disabled Services Day Training Agency	$0	$14M
Saint Francis Medical Center	MO	Internal Medicine Physician	$0	$11.7M
Semo Alliance For Disability Independence	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.3M
Crown Hospice Inc	MO	Community Based Hospice Care Agency	$0	$8.3M
David Westrich	MO	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Doctors Park Surgery Inc	MO	Ambulatory Surgical Clinic/Center	$1.2M	$0

Cape Radiology Group, P.C. — Billing Profile & Reimbursement Data

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Cape Radiology Group, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References