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    OpenPayerNPI Medicare & MedicaidBiraj Bista
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    Biraj Bista — Billing Profile & Reimbursement Data

    NPI 1568740090 · Birmingham, AL · Diagnostic Radiology Physician

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    Biraj Bista is a diagnostic radiology physician provider located in Birmingham, Alabama. This profile covers 13 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBiraj Bista
    Address619 19th St S
    CityBirmingham
    StateAL
    ZIP35249
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedAugust 2, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$153.6K
    Medicare$65.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71275In 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…270$70$18.4K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.240$40$10K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.200$40$8.8K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…70$80$6K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…60$100$5.9K
    71045In 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…740$10$5.1K
    71046In 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…330$10$4K
    75635The provider administers a contrast material and performs computed tomographic angiography (CTA) of the abdominal aorta and both iliofemoral arteries in the lower extremities. This procedure may…20$100$1.6K
    74177The 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.20$70$1.5K
    75561The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…10$100$1.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177333360110$80$9.7K
    7417634436080$60$5.9K
    71275230060$60$4.5K
    7557486020$120$4.1K
    71250734080$40$3.8K
    71045126370510$10$3.8K
    712602131050$50$3.3K
    75561111020$110$3K
    7127113416020$70$2.2K
    74174714020$80$2.1K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71275In 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…500$140$71K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.400$100$38.7K
    71045In 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…2,500$20$37.5K
    71046In 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…340$20$5.7K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.10$60$810

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71045In 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…641601,080$1$46.7K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.620140$40$28.2K
    71046In 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…126250370$10$24.6K
    71275In 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…520130$50$16K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.142050$30$6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of California IrvineCAGeneral Acute Care Hospital$0$153.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    City Of Hope Medical FoundationCAHematology & Oncology Physician$0$40.6M
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$40M
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$27M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Rajiv RathodCAOphthalmology Physician$4.3M$670.6K
    Esther KimCARetina Specialist (Ophthalmology) Physician$4.2M$15.7K
    Amar AminCADiagnostic Radiology Physician$3.6M$6.5K
    John HwangCARetina Specialist (Ophthalmology) Physician$1.9M$1.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uahsf NeonatologyALNeonatal-Perinatal Medicine Physician$0$94M
    University Of Alabama At BirminghamALGeneral Acute Care Hospital$0$19.2M
    Ryan AlmeidaALInterventional Pain Medicine Physician$757.3K$0
    Mustafa AhmedALCardiovascular Disease Physician$584.3K$0
    Racquel Innis-sheltonALHematology & Oncology Physician$422.5K$0
    Daniel AllendorfALStudent in an Organized Health Care Education/Training Program$375.7K$0
    John ThomasALDiagnostic Radiology Physician$262.7K$0
    Ryan TelfordALDiagnostic Radiology Physician$249.7K$0
    Colin StewartALDiagnostic Radiology Physician$206.7K$0
    Rachel LabovitzALInternal Medicine Physician$198.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Biraj Bista — 4 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Biraj Bista — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama