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NPI 1588954929 · Modesto, CA · Diagnostic Radiology Physician
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Modesto Radiology Imaging, Inc. is a diagnostic radiology physician provider located in Modesto, California. This profile covers 111 Medicare and 57 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 | Organization |
| Organization | Modesto Radiology Imaging, Inc. |
| Address | 1524 Mchenry Ave |
| City | Modesto |
| State | CA |
| ZIP | 95350 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | April 19, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.7M |
| Medicare | $2.3M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
111 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.… | 440 | $1,340 | $582K |
| 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… | 2,150 | $140 | $291.9K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 450 | $280 | $124.2K |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 240 | $490 | $116.9K |
| 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… | 2,120 | $60 | $116.7K |
| 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. | 340 | $260 | $87.9K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 420 | $150 | $63K |
| 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… | 160 | $280 | $43.2K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 260 | $160 | $41.2K |
| 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… | 940 | $40 | $37.5K |
Showing 1–10 of 111
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 111 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
111 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| A9595 | 51 | 90 | 270 | $480 | $206.9K |
| 78815 | 43 | 590 | 70 | $740 | $104.1K |
| A9552 | 13 | 330 | 70 | $280 | $34.9K |
| 77067 | 27 | 1,290 | 170 | $90 | $34.5K |
| 78816 | 130 | 210 | 30 | $650 | $31.3K |
| 77063 | 23 | 960 | 280 | $40 | $19.3K |
| 93975 | 245 | 370 | 30 | $200 | $17.1K |
| 93925 | 380 | 1,250 | 40 | $180 | $15.4K |
| 70553 | 176 | 1,000 | 50 | $150 | $13K |
| 74177 | 148 | 2,090 | 90 | $100 | $12.9K |
Showing 1–10 of 111
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
57 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.… | 4,390 | $1,180 | $5.2M |
| 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… | 6,980 | $140 | $984.5K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2,150 | $370 | $786.9K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 2,780 | $130 | $347.6K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 2,530 | $140 | $341.1K |
| 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… | 3,590 | $90 | $330.4K |
| 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… | 1,430 | $220 | $313.5K |
| 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. | 910 | $310 | $281.2K |
| 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… | 8,620 | $30 | $267.3K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 2,030 | $90 | $183.1K |
Showing 1–10 of 57
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
57 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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.… | 9 | 230 | 270 | $840 | $717.2K |
| 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. | 422 | 780 | 1,160 | $130 | $576.2K |
| 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. | 855 | 900 | 1,400 | $60 | $342.7K |
| 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… | 68 | 330 | 250 | $260 | $311.4K |
| 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. | 572 | 690 | 890 | $80 | $240.7K |
| 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… | 94 | 900 | 560 | $70 | $230.3K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 28 | 390 | 230 | $170 | $163.1K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 28 | 460 | 230 | $160 | $158.3K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 248 | 440 | 310 | $120 | $157.2K |
| 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. | 215 | 440 | 300 | $140 | $155.5K |
Showing 1–10 of 57
Other providers in the same ZIP code as Modesto Radiology Imaging, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Doctors Medical Center Of Modesto, Inc. | CA | General Acute Care Hospital | $0 | $101.2M |
| Golden Valley Health Centers | CA | Internal Medicine Physician | $0 | $79.4M |
| Valley Children's Medical Group | CA | Pediatrics Physician | $0 | $65M |
| Northern California Cancer Center | CA | Medical Oncology Physician | $0 | $40M |
| County Of Stanislaus | CA | Clinic/Center | $0 | $27.4M |
| Cep America - California | CA | Emergency Medicine Physician | $0 | $26.1M |
| Khosrow Mehrany | CA | Specialist | $7.7M | $0 |
| Aegis Treatment Centers, LLC | CA | Methadone Clinic | $780.3K | $23.7K |
| Thomas Wallace | CA | Critical Care Medicine (Internal Medicine) Physician | $634.3K | $0 |
| Joselyn Deculing | CA | Nurse Practitioner | $566.2K | $0 |
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