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

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

Diagnostic Radiology PC (NPI 1497713291)

Diagnostic Radiology PC is a diagnostic radiology physician provider located in Omaha, Nebraska. This profile covers 0 Medicare and 49 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Diagnostic Radiology PC
Address	14301 Fnb Pkwy Ste 100
City	Omaha
State	NE
ZIP	68154
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 2, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

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

49 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.	8,350	$60	$509.2K
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.	9,680	$30	$251.6K
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…	31,950	$10	$191.7K
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…	18,050	$10	$144.4K
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.	1,630	$60	$89.8K
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…	2,920	$30	$81.7K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	1,750	$30	$47.4K
77063	The 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…	1,950	$20	$44.8K
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…	790	$50	$37.2K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	830	$30	$28.2K

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Diagnostic Radiology PC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	5	50	820	$160	$461.3K
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…	13	20	270	$260	$342.4K
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.	4	50	830	$90	$269K
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…	10	10	270	$140	$171.1K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	5	10	220	$70	$146.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	14	30	290	$70	$143.3K
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.	4	30	200	$170	$141.4K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	8	10	640	$60	$136.9K
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…	6	10	380	$80	$123.6K
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…	6	30	250	$150	$114.6K

Showing 1–10 of 49

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Kara Perrelli	NE	Diagnostic Radiology Physician	$284.5K	$0
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0
Kevin Marcum	FL	Diagnostic Radiology Physician	$243.6K	$0
Andrew Ciccarelli	MA	Diagnostic Radiology Physician	$220.1K	$0
Ryan Farrer	WA	Diagnostic Radiology Physician	$215.2K	$0
Jeffrey Hebert	NM	Diagnostic Radiology Physician	$174.7K	$0
Bryan Suchecki	MA	Diagnostic Radiology Physician	$165.8K	$0
Earl Larson	NE	Diagnostic Radiology Physician	$165.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kubat Pharmacy, LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$4.1M
William Thomas	NE	Ophthalmology Physician	$2.7M	$0
Omega Surgery Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.7M	$359.6K
Aria Eye Care, LLC	NE	Optometrist	$0	$2M
Senior Vision Services LLC	NE	Optometrist	$0	$1.5M
Maxability Therapy Services, P.C.	NE	Speech-Language Pathologist	$0	$1.3M
Cord Where Science Meets Connection LLC	NE	Mental Health Counselor	$0	$1.1M
Verve Collaborative Health LLC	NE	Psychiatric/Mental Health Nurse Practitioner	$0	$804.3K
Miracle Hills Surgery Center LLC	NE	Ambulatory Surgical Clinic/Center	$719K	$56.8K
Omaha Eye & Laser Institute, Inc.	NE	Ophthalmology Physician	$0	$596.1K

Diagnostic Radiology PC — Billing Profile & Reimbursement Data

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Diagnostic Radiology PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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