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NPI 1588695522 · Bronx, NY · Diagnostic Radiology Physician
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Marc Prager is a diagnostic radiology physician provider located in Bronx, New York. This profile covers 18 Medicare and 21 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Marc Prager |
| Address | 1200 Waters Pl |
| City | Bronx |
| State | NY |
| ZIP | 10461 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | July 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $329.5K |
| Medicaid | $194.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 130 | $1,540 | $205.1K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 130 | $400 | $51.1K |
| 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… | 130 | $160 | $20.7K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 90 | $110 | $10K |
| 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… | 130 | $60 | $8.4K |
| 78803 | The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.… | 20 | $350 | $8.3K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 50 | $100 | $5.5K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 30 | $140 | $4.4K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 40 | $100 | $4.2K |
| 78306 | The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of… | 20 | $150 | $3.5K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| A9552 | 52 | 200 | 60 | $350 | $42.8K |
| 77067 | 573 | 780 | 290 | $90 | $41.7K |
| 78816 | 14 | 140 | 40 | $590 | $31.8K |
| 77063 | 546 | 750 | 280 | $40 | $18.9K |
| 93976 | 87 | 210 | 30 | $110 | $8.1K |
| 76700 | 236 | 990 | 40 | $70 | $6K |
| 76830 | 755 | 850 | 30 | $90 | $5.1K |
| 76856 | 259 | 740 | 30 | $70 | $4.9K |
| 76770 | 560 | 1,260 | 50 | $60 | $4.8K |
| 78306 | 77 | 170 | 20 | $70 | $3.2K |
Showing 1–10 of 18
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 1,280 | $40 | $55K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 960 | $40 | $40.2K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 700 | $50 | $35.6K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 610 | $30 | $17.1K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 460 | $30 | $15.6K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 170 | $60 | $10.1K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 270 | $30 | $6.6K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 50 | $60 | $3.1K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 90 | $30 | $2.4K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 50 | $40 | $2.2K |
Showing 1–10 of 21
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
21 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 118 | 410 | 290 | $80 | $185.3K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 527 | 770 | 340 | $130 | $154.1K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 254 | 670 | 250 | $110 | $150.7K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 71 | 290 | 240 | $130 | $131.3K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 85 | 370 | 110 | $180 | $127.6K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 119 | 270 | 110 | $190 | $120.2K |
| 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. | 316 | 470 | 150 | $170 | $118.5K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 115 | 170 | 170 | $100 | $84.5K |
| 77065 | The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential… | 123 | 180 | 210 | $90 | $77.5K |
| 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… | 71 | 90 | 90 | $220 | $75.3K |
Showing 1–10 of 21
Other providers in the same ZIP code as Marc Prager, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| New York City Health And Hospitals Corporation | NY | General Acute Care Hospital | $0 | $217.6M |
| Cupid Homecare Agency | NY | In Home Supportive Care Agency | $0 | $114.1M |
| Citywide Mobile Response Corp | NY | Ambulance | $1.7M | $30.5M |
| Ability Builders For Children, LLC | NY | Early Intervention Provider Agency | $0 | $22.5M |
| New York Gi Center LLC | NY | Endoscopy Clinic/Center | $518.6K | $5.4M |
| Rajesh Bhatnagar | NY | Neurology Physician | $479.2K | $982.2K |
| Eric Wolf | NY | Ophthalmology Physician | $819.6K | $0 |
| Nabil Elhadidy | NY | Internal Medicine Physician | $222.3K | $470K |
| Luciano Tuluca | NY | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $280.8K | $383.8K |
| Carlos Driggs | NY | Endocrinology, Diabetes & Metabolism Physician | $106.1K | $372K |
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