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    OpenPayerNPI Medicare & MedicaidLoy Forsythe
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    Loy Forsythe — Billing Profile & Reimbursement Data

    NPI 1598727042 · Clarksville, TN · Diagnostic Radiology Physician

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    Loy Forsythe is a diagnostic radiology physician provider located in Clarksville, Tennessee. This profile covers 64 Medicare and 12 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
    OrganizationLoy Forsythe
    Address651 Dunlop Ln
    CityClarksville
    StateTN
    ZIP37040
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 3, 2006

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

    Payer SourceTotal Paid
    Medicare$93.5K
    Medicaid$3.6K

    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.

    64 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…320$30$11K
    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.130$60$7.9K
    77063The 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…270$30$7.4K
    74176The 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.110$60$6.5K
    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…90$60$5.3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.130$40$5.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.130$30$4.3K
    70450The 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.140$30$3.9K
    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…610$10$3.6K
    78815PET 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.…40$80$3.1K

    Showing 1–10 of 64

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 64 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    64 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7881510215070$350$38.5K
    77067147460160$60$18.6K
    74177231580110$90$12.7K
    77063154420150$30$10K
    7055328330050$110$9.3K
    70450300570150$30$6.1K
    7417617958070$70$6K
    206107901,00070$40$5.5K
    76641619030$70$5.4K
    9392512030020$100$5.2K

    Showing 1–10 of 64

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…100$10$1.3K
    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.30$30$860
    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…250$1$500
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.20$20$350
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.20$20$270
    70450The 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.30$10$220
    74176The 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.10$10$130
    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…10$1$40
    3341FNo Summary found for this code110$0$0
    7025FNo Summary found for this code100$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.85100670$60$342.9K
    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.185210400$50$157.2K
    70450The 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.215230460$20$83K
    74176The 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.164170170$40$63.7K
    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…2393101,590$1$53.4K
    77067The 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…81120380$20$46.1K
    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…427440390$10$26.9K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.385090$20$15.2K
    G9637Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction…2360280$1$1
    3341FNo Summary found for this code710140$0$0

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Wisconsin Radiology Specialists, S CWISpecialist$0$5.7M
    Eric JohnsonKYDiagnostic Radiology Physician$78.6K$3.1M
    Jose Pratts EmanuelliTNDiagnostic Radiology Physician$759.9K$16.3K
    Michael ArthoferILDiagnostic Radiology Physician$148.7K$472.3K
    Andrew HutchensTNDiagnostic Radiology Physician$424.1K$0
    Vineet SharmaTNDiagnostic Radiology Physician$286.1K$63.3K
    Reagan LeverettTNDiagnostic Radiology Physician$337.1K$0
    Adam BryantWIDiagnostic Radiology Physician$124.4K$200K
    Paul NauTNDiagnostic Radiology Physician$288.3K$23.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clarksville Health System, LLCTNGeneral Acute Care Hospital$0$32.9M
    Premier Medical Group PCTNGeneral Practice Physician$0$20.1M
    Advanced Therapy SolutionsTNMental Health Clinic/Center (Including Community Mental Health Center)$0$9.9M
    Progressive Directions Inc.TNDevelopmentally Disabled Services Day Training Agency$0$9.1M
    County Of Montgomery-office Of County JudgeTNLand Ambulance$1.3M$6.3M
    Envoi Associates, LLCTNIn Home Supportive Care Agency$0$3.2M
    Latasha GarrettTNPediatric Dentistry$0$3.1M
    Barbara A Aquino Md PLLCTNPediatrics Physician$0$2.6M
    Valley Emergency Physicians Tennessee PCTNEmergency Medicine Physician$0$2.2M
    Clarksville Eye Surgery CenterTNAmbulatory Surgical Clinic/Center$620.1K$17.9K

    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. Tennessee Distribution
    Loy Forsythe — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Loy Forsythe — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee