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

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

Jason Ross (NPI 1528300555)

Key Findings

Field	Value
Entity Type	Individual
Organization	Jason Ross
Address	101 Rainbow Dr # 5250
City	Livingston
State	TX
ZIP	77399
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 16, 2013

Payer Source	Total Paid
Medicare	$482.4K
Medicaid	$0

This provider’s billed population is effectively single‑payer: total Medicare revenue is $482.4K while there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s documented revenue mix. That concentration means analyses of utilization and contract risk should focus on Medicare patterns rather than dual‑payer comparisons.

Revenue is highly concentrated in a small set of procedures: the precomputed top‑3 Medicare codes account for 62.7% of the provider’s total Medicare revenue. Those three codes are 78815 ($128.3K, 28.4% of Medicare revenue), 37243 ($121.5K, 26.9% of Medicare revenue), and 74177 ($33.5K, 7.4% of Medicare revenue), indicating dependence on a mix of PET/CT imaging and a high‑revenue interventional vascular procedure.

The CPT mix is consistent with a diagnostic radiology practice that also performs interventional procedures: high revenue and claims for 78815 and related radiotracer A9552 reflect PET/CT imaging activity, while 37243 and multiple angiography codes (36247, 36248, 75726) indicate active vascular embolization and catheter‑based work. Together these codes suggest the provider delivers both advanced imaging services and image‑guided interventions rather than pure outpatient diagnostic reads.

Procedure-level economics are notable: 37243 has a high average paid value ($6397 avg paid/claim) and contributes $121.5K (26.9%) of Medicare revenue, making it a primary revenue driver despite relatively few claims. By contrast, 78815 generates $128.3K from 111 claims at $1156 avg paid/claim, showing the business combines lower‑volume, high‑unit‑value interventional work with higher‑volume imaging.

Competitive standing across top codes is mixed but not extreme. 78815 ranks in the vicinity of the 71st percentile nationally and 74177 in the 84th percentile — both characterized as "typical, unremarkable volume" relative to national peers — while 37243 sits nearer the 43rd percentile and is also described as "typical, unremarkable volume," indicating the provider is a modest to mid‑level participant rather than a dominant national outlier for these services.

There are a few areas of relatively strong national standing for specific supervision/interpretation or ancillary codes: 75774 (radiological supervision and interpretation) and G0168 (wound closure with tissue adhesive) rank in the top percentiles (96th) and are described as "typical, unremarkable volume," suggesting comparatively higher relative activity for supervision/interpretation and discrete procedural adjuncts, even though those codes represent smaller shares of total revenue.

Overall profile and scale suggest a relatively small Medicare billing footprint for this specialty: $482.4K total Medicare revenue with more than 62% tied to three codes implies commercial or institutional affiliations, cross‑coverage, or a limited panel could be influencing observed volumes. Analysts should treat reimbursement trends for 78815 and 37243 as disproportionately important to the provider’s Medicare revenue trajectory.

The provider has an established enrollment history — NPI enumerated 2013-03-16 (~13 years ago) — which supports using multi‑year trend analysis when available; given the tenure and concentrated code mix, year‑over‑year shifts in utilization for PET/CT or embolization services would materially change the provider’s Medicare revenue profile.

Medicare: Complete Services Breakdown

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78815	PET 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.…	110	$1,160	$128.3K
37243	The physician partially or completely blocks vascular blood flow in the target area for benign or malignant tumors (including uterine fibroids), organ ischemia, or infarction.	20	$6,400	$121.5K
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.	250	$130	$33.5K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	20	$1,160	$27.8K
36247	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	30	$660	$18.5K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	140	$130	$17K
36561	A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the…	20	$750	$14.9K
75774	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	180	$70	$13.5K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	140	$70	$9.2K
36248	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	100	$90	$8.7K

Showing 1–10 of 60

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37243	2	20	20	$3,760	$90.2K
78815	11	600	40	$460	$47.5K
77067	66	880	210	$60	$26.1K
78816	2	150	20	$350	$18.4K
99214	2,505	32,500	110	$80	$17.6K
77063	64	840	200	$40	$14.1K
36247	1	60	20	$470	$12.8K
74177	24	1,940	90	$80	$10.7K
99215	859	8,730	40	$120	$9.2K
99213	2,213	29,790	70	$60	$8.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utmb Faculty Group Practice	TX	General Practice Physician	$0	$98.9M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Otero County Hospital Association	NM	General Acute Care Hospital	$0	$73.2M
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Advanced Radiology Services PC	MI	Diagnostic Radiology Physician	$0	$60M
Saint Francis Medical Center	MO	General Acute Care Hospital	$0	$56.4M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Cibola General Hospital Corporation	NM	Critical Access Hospital	$0	$26.5M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Tallahassee Memorial Healthcare Inc	FL	General Acute Care Hospital	$0	$20.6M

Jason Ross — 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

Frequently Asked Questions

References