Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Mcclain
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Justin Mcclain — Billing Profile & Reimbursement Data

    NPI 1487887766 · Atlanta, GA · Body Imaging Physician

    Customize your policy alerts

    Sign up for Justin Mcclain — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Justin Mcclain is a body imaging physician provider located in Atlanta, Georgia. This profile covers 14 Medicare and 1 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
    OrganizationJustin Mcclain
    Address1364 Clifton Rd Ne Ste D-112
    CityAtlanta
    StateGA
    ZIP30322
    TaxonomyBody Imaging Physician
    NPI EnumeratedSeptember 2, 2009

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

    Payer SourceTotal Paid
    Medicare$255.6K
    Medicaid$240

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.620$110$69.3K
    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.450$100$44.7K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.790$50$37.9K
    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.480$70$33.8K
    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…170$120$19.3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.310$50$15.3K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.80$110$8.4K
    74160The provider performs computed tomography to create cross–sectional images of the abdomen to aid in the diagnosis and treatment of abdominal conditions. He injects contrast material to enhance the…110$80$8.2K
    74181The provider performed magnetic resonance imaging of the structures and organs in the abdomen without contrast material.100$70$6.4K
    74170The provider performs computed tomography to create cross–sectional images of the abdomen to aid in the diagnosis and treatment of abdominal conditions. He obtains images without contrast and then…50$90$4.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7417714650100$70$9.7K
    74183119040$100$8.1K
    721973612040$100$6.6K
    74176665060$70$5.8K
    74178428030$120$4.3K
    71250364070$40$4.1K
    712601454050$40$3.1K
    7417024020$70$1.6K
    A957513605,090$1$1.5K
    7416012020$70$1.4K

    Showing 1–10 of 14

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In 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…30$10$240

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In 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…105120590$20$118.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adventist Health System-sunbelt, IncFLGeneral Acute Care Hospital$0$173.7M
    Mary Washington Hospital Inc.VAGeneral Acute Care Hospital$0$80.1M
    Florida Hospital Medical Group IncFLFamily Medicine Physician$0$71.2M
    Adventist Health System Sunbelt, Inc.FLUrgent Care Clinic/Center$0$67.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Emory Medical Care Foundation IncGAInternal Medicine Physician$0$41.4M
    Adventist Health System-sunbelt, IncFLClinical Medical Laboratory$0$28.2M
    The Emory Clinic IncGAAmbulatory Surgical Clinic/Center$1.4M$26.6M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Florida Hospital Physician Group IncFLFamily Medicine Physician$0$21.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Egleston Children's Hospital At Emory University, Inc.GAPediatric Emergency Medicine (Pediatrics) Physician$0$222.6M
    Chris BergstromGAOphthalmology Physician$2M$0
    The Emory Clinic IncGAAmbulatory Surgical Clinic/Center$1.6M$0
    Ashesh JaniGARadiation Oncology Physician$563K$0
    George HubbardGAOphthalmology Physician$553K$0
    Karen GodetteGARadiation Oncology Physician$482.1K$0
    Blaine CribbsGAOphthalmology Physician$453.6K$0
    Sibo TianGARadiation Oncology Physician$417.5K$0
    Egleston Pediatric GroupGAPediatrics Physician$0$398.8K
    Samuel MiltonGAPhysical Medicine & Rehabilitation Physician$324.8K$0

    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. Georgia Distribution
    Justin Mcclain — 9 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Justin Mcclain — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia