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

Why is the Medicaid comparison limited to North 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. North 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.

Radu Raducu (NPI 1588847578)

Field	Value
Entity Type	Individual
Organization	Radu Raducu
Address	225 N 7th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Nephrology Physician
NPI Enumerated	December 12, 2007

Payer Source	Total Paid
Medicare	$466.9K
Medicaid	$0

Key Findings

This provider is a nephrology specialist focused on dialysis care: the dominant Medicare procedure codes are ESRD monthly management and dialysis-related codes such as 90960, 90966, 90961 and 90962, and the top three Medicare codes by revenue together account for 49.6% of total Medicare revenue. The prevalence of frequent monthly ESRD management codes indicates the practice primarily manages ongoing dialysis patients rather than episodic non-dialysis nephrology care.

Medicare is effectively the sole public payer on file for this provider: total Medicare revenue is $466.9K and there is no Medicaid billing on file. This means the provider operates as a near single-payer (Medicare) billing profile in the available public data, limiting insights into Medicaid-facing volumes or state-level payer mix.

Revenue concentration is high and concentrated in renal replacement therapy management: 90960 alone contributes $124.9K (26.8% of Medicare revenue), and the top three codes together make up 49.6% of the provider’s Medicare revenue. That concentration signals a business model where recurring monthly ESRD management services are the principal revenue driver.

The provider shows above-typical national volume for multiple dialysis and E/M codes: 90960 ranks #256 of 6549 providers nationally (96th percentile), 90966 ranks #46 of 2039 (98th percentile), and 90961 ranks #186 of 6091 (97th percentile). These rankings characterize the provider as a major national participant in billing for ESRD monthly management relative to peers, suggesting sizable dialysis panel management compared with most physicians.

Office/outpatient E/M visits also contribute meaningfully to revenue, reflecting mixed ambulatory care activity alongside dialysis management. Codes 99214 and 99213 together account for roughly 19.7% of Medicare revenue ($48.7K and $43.5K respectively) and both appear at high national percentiles (99214 at the 94th, 99213 at the 98th), indicating substantial office-based follow-up and chronic disease management parallel to dialysis services.

Several dialysis-specific service codes are extreme outliers in national volume, reinforcing a specialization in ESRD care: 90962 ranks #24 of 1844 providers nationally (99th percentile) and 99213 is described as an "extreme outlier, far above typical national volume." These descriptors indicate the provider bills dialysis and related follow-up at volumes well above typical peers, consistent with managing a large population of chronic dialysis patients.

Hospital care codes are present but less dominant, suggesting the provider maintains both inpatient and outpatient practice components. Codes 99232, 99231, 99222 and 99223 appear in the top codes list with generally typical national volumes (percentiles ranging from mid-60s to high-70s), which suggests periodic inpatient/observation management but not the primary revenue focus.

Product and drug administration codes contribute only marginally to revenue despite high claim counts in some cases; for example, J0881 appears with 2.6K claims but only $5.2K revenue (1.1% of Medicare revenue) and ranks low nationally (4th percentile). This pattern suggests frequent low-dollar supply or drug administration billing relative to overall ESRD management income rather than a substantive standalone revenue stream.

Provider tenure is long-standing, with NPI enumeration dating to 2007-12-12 (approximately 19 years ago). This longevity, combined with concentrated ESRD billing and high national rankings on dialysis management codes, indicates an established clinical footprint in nephrology/dialysis care rather than a newly entered specialty practice.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	460	$270	$124.9K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	250	$220	$55.7K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	220	$230	$50.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	670	$70	$48.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	890	$50	$43.5K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	260	$160	$40.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	190	$100	$18.7K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	280	$60	$15.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	240	$60	$14.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	300	$40	$11.5K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Radu Raducu — 8 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	1	10	210	$270	$57.3K
J0881	2	10	20,550	$1	$48.5K
90961	1	20	80	$220	$21.5K
90966	1	10	70	$220	$21K
90962	2	10	30	$150	$15.4K
99233	127	290	60	$90	$11.9K
99214	43	1,470	90	$60	$10.4K
99232	118	560	70	$60	$10K
99223	105	330	40	$130	$8.9K
99215	445	480	40	$100	$6.9K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Winona Health Services	MN	General Acute Care Hospital	$0	$13.4M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M

Radu Raducu — 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