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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 The Fox Valley, Sc (NPI 1477539443)

Field	Value
Entity Type	Organization
Organization	Radiology Associates Of The Fox Valley, Sc
Address	333 N Commercial St
City	Neenah
State	WI
ZIP	54956
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	December 21, 2005

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

43 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.	16,200	$40	$599.5K
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.	16,690	$20	$400.6K
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…	56,710	$1	$226.9K
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…	29,730	$10	$178.4K
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…	1,940	$70	$139.8K
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…	6,670	$20	$133.3K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	1,990	$30	$67.7K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	2,150	$30	$60.1K
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.	1,810	$30	$56.2K
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…	1,540	$40	$54K

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Radiology Associates Of The Fox Valley, Sc — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	220	1,140	$70	$213.3K
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	220	980	$80	$210.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	52	90	280	$50	$110.2K
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…	11	90	190	$100	$101.6K
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.	13	60	170	$90	$90.7K
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…	26	130	300	$70	$75.1K
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.	25	160	130	$70	$54.9K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	52	80	110	$90	$54K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	24	90	180	$80	$50.9K
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…	7	150	420	$30	$45.5K

Showing 1–10 of 43

Related Providers

Other providers that share a Tax Identification Number (TIN) with Radiology Associates Of The Fox Valley, Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandeep Rao	AZ	Vascular & Interventional Radiology Physician	$634.9K	$0
Nila Alsheik	IL	Diagnostic Radiology Physician	$332.8K	$300.3K
Steven Michel	OR	Diagnostic Radiology Physician	$541.9K	$0
Rahul Sawlani	WI	Diagnostic Radiology Physician	$329.3K	$29.7K
Ernst Hansch	MN	Diagnostic Radiology Physician	$240.8K	$10.9K
Samuel Gibson	WI	Diagnostic Radiology Physician	$241.9K	$0
Scott Sullivan	CT	Diagnostic Radiology Physician	$219K	$0
Robert Haller	WI	Diagnostic Radiology Physician	$169.1K	$0
Shawn Mcguire	WI	Diagnostic Radiology Physician	$168.9K	$0
Geoffrey Fey	NE	Diagnostic Radiology Physician	$157.4K	$8.6K

Nearby Providers

Other providers in the same ZIP code as Radiology Associates Of The Fox Valley, Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thedacare Regional Medical Center-neenah, Inc.	WI	General Acute Care Hospital	$0	$18.3M
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
The Neuroscience Group Of Northeast Wisconsin Sc	WI	Neurological Surgery Physician	$0	$3.9M
Children's Hospital Of Wisconsin, Inc.	WI	Children's Hospital	$0	$3.4M
Bio-medical Applications Of Wisconsin, Inc.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Khalid Kahook	WI	Retina Specialist (Ophthalmology) Physician	$1.8M	$390
Neenah Joint School District	WI	Local Education Agency (LEA)	$0	$1.6M
Ministry Home Care, LLC.	WI	Community Based Hospice Care Agency	$0	$1.5M
Fox Valley Emergency Medicine S.c.	WI	Emergency Medicine Physician	$0	$1.5M
Rajeev Buddi	WI	Retina Specialist (Ophthalmology) Physician	$1.3M	$0

Radiology Associates Of The Fox Valley, Sc — Billing Profile & Reimbursement Data

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Radiology Associates Of The Fox Valley, Sc — 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