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

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

Jeffrey Rhea (NPI 1538505607)

Field	Value
Entity Type	Individual
Organization	Jeffrey Rhea
Address	419 S Washington St Ste 101
City	Casper
State	WY
ZIP	82601
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 16, 2013

Payer Source	Total Paid
Medicare	$465.3K
Medicaid	$0

Key Findings

This provider is effectively single‑payer: lifetime Medicare revenue is $465.3K and there is no Medicaid billing on file, so all observed public‑payer activity comes from Medicare claims. Analysts should therefore treat this profile as a Medicare‑centric diagnostic radiology practice rather than a mixed Medicaid/Medicare operation.

Revenue is concentrated in a small set of studies: the precomputed top‑3 Medicare codes (77067, 77063, 74177) account for 46.5% of this provider's Medicare revenue. Those three appear in the file as 77067 ($109.8K, 28.5%), 77063 ($37.4K, 9.7%), and 74177 ($31.9K, 8.3%), indicating that screening/diagnostic mammography plus CT abdomen/pelvis are the primary revenue drivers.

The code mix points to a multi‑modality diagnostic radiology operation with a strong emphasis on breast imaging and cross‑sectional studies. High‑volume mammography codes (77067 and 77063) together represent a large share of revenue, supplemented by CT of the abdomen/pelvis (74177) and thorax CT (71250 — $20.8K); the provider also bills DXA (77080, $20K), MRI brain and spine (70553, 72148) and vascular/ultrasound studies, consistent with an imaging practice offering screening, diagnostic, and some therapeutic localization services.

Competitive standing by code is mixed: 77067 ranks #1679 of 15198 providers nationally (89th percentile; typical, unremarkable volume) and 77063 ranks #2483 of 14277 (83th percentile; typical, unremarkable volume), which together indicate consistent screening mammography throughput but not market dominance. Across other codes the practice shows above‑average placement on several CT and ultrasound lines (for example 71250 is #1083 of 21854, 95th percentile) but most codes are described as typical volumes versus national peers.

There are a few notably elevated code‑level signals that stand out as statistical outliers in plain‑English terms: CT thorax without contrast (71250) is marked as notably above typical national volume and sits in the 95th percentile, and abdominal ultrasound limited (76705) is at the 95th percentile as well; these suggest relatively higher utilization of certain CT and ultrasound services compared with national peers. These elevated percentiles coexist with many codes characterized as typical, indicating pockets of higher intensity rather than across‑the‑board outlier billing.

The provider’s service mix includes vascular and vascular duplex studies (93880 $10.7K, 2.8%; 93971 $7.9K, 2.0%) and CTA (71275 $7.4K, 1.9%), demonstrating that peripheral vascular imaging and CTA are meaningful secondary lines of business. While none of these individually rival the mammography codes in revenue share, together they widen the clinical scope beyond breast imaging and basic CT/MRI exams.

NPI tenure and scale suggest a stable, locally oriented practice: the NPI was enumerated 2013-05-16 (~13 years ago), which provides time to have built referral relationships in Casper, WY, but the absolute Medicare lifetime revenue ($465.3K) reflects a modest Medicare billing footprint consistent with a small‑to‑mid sized regional diagnostic radiology provider rather than a high‑volume national imaging center.

Medicare: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	960	$120	$109.8K
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…	720	$50	$37.4K
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.	310	$100	$31.9K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	330	$60	$20.8K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	530	$40	$20K
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…	100	$190	$18.1K
74178	The 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…	60	$190	$12.4K
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.	150	$80	$11.5K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	80	$140	$10.7K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	100	$110	$10.4K

Showing 1–10 of 77

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 77 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Jeffrey Rhea — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

77 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	2	40	210	$80	$23.8K
74177	4	40	150	$80	$12.5K
77063	2	40	200	$40	$10.9K
70553	4	30	60	$130	$7.8K
19083	7	10	20	$300	$6.6K
72197	4	10	20	$190	$6.3K
71250	1	30	100	$50	$6K
72148	11	50	40	$90	$6K
71275	11	30	70	$70	$5.7K
74178	2	20	30	$160	$5.7K

Showing 1–10 of 77

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Jeffrey Rhea — 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