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    OpenPayerNPI Medicare & MedicaidAndrew Boyer
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    Andrew Boyer — Billing Profile & Reimbursement Data

    NPI 1487884953 · Rutland, VT · Diagnostic Radiology Physician

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    Andrew Boyer is a diagnostic radiology physician provider located in Rutland, Vermont. This profile covers 79 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Boyer
    Address160 Allen St
    CityRutland
    StateVT
    ZIP05701
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 20, 2009

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

    Payer SourceTotal Paid
    Medicare$190.1K
    Medicaid$0

    Key Findings

    This provider’s public Medicare footprint is small-to-midsize with total Medicare revenue of $190.1K and no Medicaid billing on file (“none below”). The absence of any Medicaid revenue makes this effectively a single-payer-anchored profile and suggests the provider’s billed services primarily reach Medicare beneficiaries or commercially insured patients routed through Medicare claims processes.

    Revenue concentration is high: the precomputed top 3 Medicare codes (77067, 77063, 74177) account for 44.1% of the provider’s total Medicare revenue, with 77067 at 17.8%, 77063 at 14.3%, and 74177 at 12.0%. These three codes indicate that a plurality of revenue is driven by breast imaging (screening mammography and tomosynthesis) and cross-sectional abdominal/pelvic CT services.

    Service-line implications from the code mix point to a diagnostic radiology practice with a strong emphasis on breast imaging and CT-based cross-sectional work. High-volume mammography codes (77067 and 77063) together with multiple CT codes (74177, 70450, 71260, 71250) plus MRI, PET/CT, ultrasound, and vascular studies suggest this provider performs a mix of outpatient imaging services rather than a narrow subspecialty.

    Competitive standing for breast imaging is above average but not dominant: 77067 ranks #2133 of 15198 (86th percentile, described as typical, unremarkable volume) and 77063 ranks #1960 of 14277 (86th percentile, typical). These percentiles indicate more activity than most peers nationally for screening and tomosynthesis but not near the top tier of national volume leaders.

    Cross-sectional and general imaging show pockets of relatively high activity: 74177 ranks #2133 of 23621 (91st percentile, typical), 71260 ranks #1236 of 20343 (94th percentile, typical), and 71046 ranks #2499 of 47284 (95th percentile, typical). The consistent high-percentile rankings across several CT and chest radiography codes point to above-typical CT and chest imaging throughput versus national peers.

    Most individual CPT/HCPCS entries are labeled in the source as "typical, unremarkable volume," indicating this provider’s case mix aligns with common national practice patterns rather than extreme specialization, but one ultrasound code stands out: 76705 is labeled "notably above typical national volume" (312 claims, $2.8K revenue, 87th percentile). That suggests a comparatively heavier-than-typical workload in limited abdominal ultrasound for this provider.

    Tenure is substantial: the NPI was enumerated on 2009-07-20 (~17 years ago). This length of enrollment supports the interpretation that the observed billing pattern reflects an established practice rather than short-term or newly added services.

    The lack of any Medicaid billing (explicitly “none below”) is a notable operational consideration for payers and networks: the provider has no recorded Medicaid revenue to benchmark in-state competition or to assess Medicaid panel participation. For payers, that implies there is no Medicaid claim history to inform reimbursement negotiations or access planning, and for providers seeking broader payer mix it may flag an area for potential contracting outreach.

    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.

    79 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…830$40$29.1K
    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…830$30$23.2K
    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.320$60$19.6K
    70450The 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.510$30$14.3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.230$40$9K
    70553In 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…100$80$8K
    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.120$60$6.4K
    71045In 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…900$10$5.4K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.100$50$4.5K
    78815PET 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.…50$90$4.4K

    Showing 1–10 of 79

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 79 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    79 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067530450$40$19.4K
    77063530450$30$15K
    74177640140$60$10.9K
    70450530190$30$7.7K
    7881572050$100$7.7K
    74183142030$160$7.2K
    7055373050$90$6.6K
    72148173080$60$5.6K
    7126053080$40$4.8K
    712501430100$40$4.1K

    Showing 1–10 of 79

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Medicine Associates PCWAEmergency Medicine Physician$0$11.1M
    Public Hospital District No. 2, Klickitat County, WashingtonWACritical Access Hospital$0$6.7M
    Rutland Radiologists, P.C.VTDiagnostic Radiology Physician$0$1.1M
    Arvind DurvasanAZNephrology Physician$639.3K$8.9K
    Trent SheltonVTDiagnostic Radiology Physician$179.1K$0
    Jed HummelVTDiagnostic Radiology Physician$166.3K$0
    Jeffrey CagleyORDiagnostic Radiology Physician$152.1K$0
    Jonathan FarrellORPhysician Assistant$148.3K$0
    Daniel MitchellVTDiagnostic Radiology Physician$143.7K$0
    Evelyn LorentsOKDiagnostic Radiology Physician$92.2K$1.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rutland Mental Health ServicesVTDevelopmental Disabilities Clinic/Center$0$122.1M
    Community Health Centers Of The Rutland Region IncVTFederally Qualified Health Center (FQHC)$0$20.6M
    Rutland Mental Health Services, Inc.VTMental Health Clinic/Center (Including Community Mental Health Center)$0$17.7M
    Rutland Hospital, Inc.VTPsychiatric Hospital Unit$396.2K$13.3M
    Community Health Centers Of The Rutland Region, Inc.VTPediatrics Physician$0$13.6M
    Regional Ambulance Service, IncVTLand Ambulance$1.4M$5.3M
    Vna & Hospice Of The Southwest Region, IncVTHome Health Agency$0$4.8M
    Bradford Psychiatric Associates. LLCVTAddiction Medicine (Internal Medicine) Physician$0$4.7M
    Community Health Centers Of The Rutland Region, Inc.VTDentist$0$4.4M
    Community Health Centers Of The Rutland Region, Inc.VTFederally Qualified Health Center (FQHC)$0$4.3M

    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. Vermont Distribution
    Andrew Boyer — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont