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

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

Joseph Apostol (NPI 1497781512)

Field	Value
Entity Type	Individual
Organization	Joseph Apostol
Address	1101 N 27th St
City	Billings
State	MT
ZIP	59101
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicare	$461.8K
Medicaid	$0

Key Findings

This provider is effectively a single-payer Medicare practice: lifetime Medicare revenue is $461.8K and there is no Medicaid billing on file, indicating no measurable Medicaid activity in this profile. The absence of Medicaid claims suggests payer mix is concentrated entirely in Medicare for the population and services captured here.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 58.4% of this provider’s total Medicare revenue, showing that a small set of diagnostic and imaging services drive the majority of billed Medicare dollars. That concentration implies operational focus and revenue vulnerability tied to a few procedures rather than a broad distribution across many codes.

The top revenue-driving service is 93306 (transthoracic echocardiography), which generated $143.4K and represents 31.5% of Medicare revenue. The provider ranks #246 of 24,624 nationally for 93306 (99th percentile) and is described as an extreme outlier, indicating exceptionally high echocardiography volume relative to peers and a dominant role in delivering 2D transthoracic echo services.

The second-largest code, 78452 (multiple SPECT studies), produced $86.3K and 18.9% of Medicare revenue, with a national rank of #719 of 14,946 (95th percentile) and labeled notably above typical volume. Together with 93306, these imaging and nuclear cardiology codes form a clear cardiac diagnostic/imaging service-line emphasis for the provider.

Routine outpatient evaluation and management codes also contribute meaningful volume: 99213 produced $36.6K (8.0% of Medicare revenue) and ranks in the 95th percentile nationally, while 99203 and 99204 are present among top codes. This mix—high volumes of both diagnostic imaging (93306, 78452) and office E/M visits—suggests an integrated ambulatory cardiology practice that pairs imaging throughput with clinic visits.

Procedure-level ranks for several device- and procedure-related codes are more typical; for example, 92928 (PCI) ranks in the 40th percentile and 33208 (pacemaker implant) in the 44th percentile, indicating the provider performs some interventional and device work but is not a national leader in those services. These lower ranks imply the practice’s relative strength is diagnostic imaging rather than high-volume interventional cardiology.

High-volume low-dollar technical services appear in the mix: 93296 (remote pacemaker/ICD device interrogation, technical component) shows 600 claims and $9K revenue (2.0% of Medicare), ranking in the 84th percentile, and 93000 (ECG) is notable with 888 claims and $8K revenue (1.8% of Medicare) at the 97th percentile. This pattern indicates substantial device monitoring and ECG throughput, consistent with a cardiology practice that manages implantable devices and ambulatory cardiac testing at scale.

Provider tenure is long-standing: NPI was enumerated on 2006-06-23 (~20 years ago), which supports an established presence in the market and helps explain sustained high ranks for select diagnostic codes. Longevity combined with concentrated imaging volumes suggests an entrenched local referral base for cardiac imaging and monitoring services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,120	$130	$143.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	250	$350	$86.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	530	$70	$36.6K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	450	$80	$34K
93351	In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…	100	$170	$17.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	180	$90	$15.7K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	250	$50	$11.9K
J2785	Injection, regadenoson, 0.1 mg	280	$40	$11.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$130	$11.4K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	20	$420	$9.5K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Joseph Apostol — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9502	1	10	450	$70	$33.9K
93306	1	60	240	$70	$21.1K
92928	15	20	30	$400	$18.8K
93458	27	30	60	$190	$13K
99214	1,055	1,810	100	$70	$12.4K
33208	8	20	20	$380	$12.2K
93351	3	20	40	$140	$8.4K
99232	287	560	70	$60	$8K
99213	61	1,730	90	$50	$7.2K
J2785	1	10	180	$40	$7.1K

Showing 1–10 of 34

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scl Health Medical Group - Billings LLC	MT	Clinic/Center	$0	$32.2M
Eric Maranda	MT	Dermatology Physician	$1.1M	$0
Scl Health Montana	MT	Emergency Care Clinic/Center	$0	$867.8K
Zachary Arthurs	SC	Vascular Surgery Physician	$641.3K	$0
Mohamad El-zaru	MA	Cardiovascular Disease Physician	$543.5K	$0
Jared Heaton	UT	MOHS-Micrographic Surgery Physician	$447.3K	$0
Cole Wootton	OK	Urology Physician	$427.5K	$0
Mustufa Saifee	UT	Pulmonary Disease Physician	$395.8K	$23.9K
Robert Pettis	IA	Otolaryngology Physician	$411.5K	$0
John Peck	OH	Urology Physician	$355.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Billings Clinic	MT	General Practice Physician	$0	$53.8M
Rimrock Foundation	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$44.9M
Residential Support Services	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$30.6M
Billings Public School District 2	MT	Local Education Agency (LEA)	$0	$19.2M
South Central Montana Regional Mental Health Center	MT	Clinic/Center	$0	$16.6M
Billings Clinic	MT	Emergency Care Clinic/Center	$0	$15.7M
Community Solutions Incorporated	MT	Clinical Medical Laboratory	$0	$14.1M
Scl Health Montana	MT	General Acute Care Hospital	$0	$13.5M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$10.8M
American Medical Response Ambulance Service Inc	MT	Ambulance	$2.1M	$6.7M

Joseph Apostol — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References