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

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

Decatur Open Mri, Inc. (NPI 1508315086)

Field	Value
Entity Type	Organization
Organization	Decatur Open Mri, Inc.
Address	2905 N Main St
City	Decatur
State	IL
ZIP	62526
Taxonomy	Magnetic Resonance Imaging (MRI) Clinic/Center
NPI Enumerated	September 26, 2016

Payer Source	Total Paid
Medicare	$24.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	60	$140	$8.1K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	40	$140	$5.3K
72195	In this procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis area without contrast material.	30	$170	$4.6K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	30	$140	$4.6K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	20	$150	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Decatur Open Mri, Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
72148	315	700	50	$80	$6.2K
73721	240	530	30	$90	$4.7K
73221	177	390	30	$90	$4K
72141	386	480	30	$70	$3.1K
72195	12	60	20	$90	$1.9K

Nearby Providers

Other providers in the same ZIP code as Decatur Open Mri, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$8.6M
James Wade	IL	Medical Oncology Physician	$2.6M	$35.2K
Sebastien Kairouz	IL	Hematology & Oncology Physician	$2.1M	$425.9K
Maurice Schuetz	IL	Anatomic Pathology & Clinical Pathology Physician	$85.7K	$1.1M
Michael Stauder	IL	Optometrist	$123.4K	$729.7K
Jonathan Locke	IL	Diagnostic Radiology Physician	$335.8K	$508.5K
Jeffrey Boorstein	IL	Diagnostic Radiology Physician	$185.7K	$558.2K
Mario Velasco	IL	Medical Oncology Physician	$569.8K	$124K
Mark Muscato	IL	Diagnostic Radiology Physician	$270.6K	$394.7K
Gailey Eye Surgery-decatur LLC	IL	Ambulatory Surgical Clinic/Center	$599.5K	$0

Decatur Open Mri, Inc. — Billing Profile & Reimbursement Data

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Decatur Open Mri, Inc. — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References