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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Thomas Reher (NPI 1588043798)

Field	Value
Entity Type	Individual
Organization	Thomas Reher
Address	2929 5th St Ste 100
City	Rapid City
State	SD
ZIP	57701
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 20, 2015

Payer Source	Total Paid
Medicare	$540.8K
Medicaid	$0

Key Findings

This provider’s commercial footprint within public programs is effectively single‑payer: Total Medicare revenue is $540.8K and there is no Medicaid billing on file (none). The absence of Medicaid activity means payers and network managers should treat this entity as Medicare‑driven for reimbursement and utilization benchmarking rather than a mixed‑payer practice.

Revenue is highly concentrated in a small set of nuclear medicine/PET codes: the precomputed top‑3 Medicare codes account for 54.9% of the provider’s total Medicare revenue. The three top drivers are 78815 (33.5% of Medicare revenue), A9595 (13.5%), and A9552 (7.8%), indicating a dependency on PET and F‑18 radiopharmaceutical studies for the majority of billed Medicare dollars.

The code mix and volumes point to a dual operational focus: advanced oncology PET imaging plus high‑throughput screening and cross‑sectional studies. Key PET activity is visible in 78815 (132 claims, $1250 avg paid/claim, $165K revenue) alongside substantial mammography throughput in 77067 (420 claims, $86 avg paid/claim, $36.1K revenue) and 77063 (418 claims, $41 avg paid/claim, $17.1K revenue), implying this diagnostic radiology practice runs multi‑modality outpatient imaging (PET/CT, mammography, CT/MRI).

Competitive standing for PET and novel therapeutic‑adjunct tracers is mixed: 78815 ranks #1558 of 6566 nationally (76th percentile) and is characterized as typical/unremarkable national volume for that code, while A9552 ranks #499 of 2411 (79th percentile) also typical. By contrast, A9595 (piflufolastat f‑18) ranks #379 of 528 nationally (28th percentile), indicating relatively low national activity with this newer tracer despite it being the second largest Medicare revenue contributor for this provider.

Several CT/CTA codes sit at the upper end of national distributions, signaling stronger relative volume in vascular and abdominal cross‑sectional work. Notably, 71275 (CT angiography of the chest) ranks #1137 of 19107 (94th percentile) and is described as notably above typical national volume; additional CT codes such as 74177 (rank #2222 of 23621, 91st percentile) further show substantial abdominal/pelvic CT throughput. This pattern suggests the practice provides significant CT angiography and abdominal imaging capacity in addition to PET services.

Tenure and local market presence are established but not long‑standing: the NPI was enumerated on 2015-05-20 (~11 years ago), indicating roughly a decade of billing history under this enrollment. That span is long enough for the current modality mix (PET/CT, mammography, CT/MRI) to reflect an operational strategy rather than a transient billing pattern.

The provider’s payer‑mix concentration (Medicare $540.8K vs. Medicaid none) creates both bargaining clarity and reimbursement risk: contracting and utilization reviews should reflect the Medicare‑heavy case mix and limited Medicaid exposure. For payers evaluating network adequacy or specialty access, this entity functions as a Medicare‑focused imaging resource rather than a broad Medicaid provider.

From a utilization oversight perspective, most high‑revenue CPTs are described as typical or unremarkable at the national level, with the important exception of 71275 which is notably above typical national volume. That combination—major revenue tied to PET tracers plus a single CT angiography code that is above typical—warrants targeted benchmarking of PET/CT and CTA utilization against regional imaging peers rather than broad radiology averages.

Medicare: Complete Services Breakdown

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

88 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.…	130	$1,250	$165K
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	140	$490	$66.5K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	140	$280	$38.5K
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…	420	$90	$36.1K
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	$1,260	$27.6K
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.	320	$70	$23.4K
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…	420	$40	$17.1K
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…	90	$140	$12.4K
71275	In 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…	190	$60	$12K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	320	$30	$9.7K

Showing 1–10 of 88

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 88 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Thomas Reher — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

88 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9595	1	10	130	$490	$64.1K
78815	6	20	60	$420	$40.9K
A9552	2	10	70	$280	$22.5K
77067	29	120	70	$50	$13.1K
74177	11	80	90	$70	$10K
93925	25	30	50	$90	$7.7K
70553	12	40	40	$90	$7.6K
77063	28	110	70	$30	$7.5K
78816	6	10	30	$180	$6.1K
70450	13	70	150	$30	$5.2K

Showing 1–10 of 88

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wisconsin Hospitals And Clinics Authority	WI	General Acute Care Hospital	$0	$120M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sonoran Radiology Ltd	AZ	Vascular & Interventional Radiology Physician	$0	$33.4M
Singleton Associates PA	TX	Diagnostic Radiology Physician	$0	$16.2M
University Of Wisconsin Medical Foundation, Inc	WI	Multi-Specialty Clinic/Center	$0	$15.2M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Fort Healthcare, Inc.	WI	General Acute Care Hospital	$0	$9.4M
Richland Hospital	WI	Critical Access Hospital	$0	$9.2M
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavior Management Systems, Inc.	SD	Community/Behavioral Health Agency	$0	$19.8M
Monument Health Rapid City Hospital, Inc	SD	Multi-Specialty Clinic/Center	$0	$18.7M
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$11.5M
Community Health Center Of The Black Hills Inc	SD	Federally Qualified Health Center (FQHC)	$0	$10.2M
Jrk Services, Inc	SD	Home Health Agency	$0	$10.1M
Black Hills Pediatrics, LLP	SD	Pediatrics Physician	$0	$9.7M
Rapid City Emergency Services PA	SD	Emergency Medicine Physician	$0	$8.2M
Wellspring Inc.	SD	Psychiatry Physician	$0	$7.4M
Radiology Associates Prof, LLC	SD	Diagnostic Radiology Physician	$0	$5.3M
Monument Health Rapid City Hospital, Inc.	SD	Multi-Specialty Clinic/Center	$0	$5.2M

Thomas Reher — 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