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

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Sergey Leshchinskiy (NPI 1619210655)

Field	Value
Entity Type	Individual
Organization	Sergey Leshchinskiy
Address	111 Colchester Ave
City	Burlington
State	VT
ZIP	05401
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 28, 2013

Payer Source	Total Paid
Medicare	$356.5K
Medicaid	$0

Key Findings

This provider is a diagnostic radiology practice that is heavily weighted toward advanced cross-sectional imaging: the largest revenue drivers are MRI of the abdomen with contrast (74183), MRI of the pelvis with contrast (72197), and PET/CT (78815), which fits a service mix focused on MRI and oncologic imaging. Those three codes together account for 50.6% of the provider's total Medicare revenue, consistent with a concentrated, high-acuity imaging case mix rather than a broad outpatient radiology panel.

Revenue scale is modest but focused: lifetime Medicare revenue is $356.5K and there is no Medicaid billing on file, so this provider operates effectively as a single-payer (Medicare) biller in the public programs and does not show a Medicaid revenue stream to diversify payer mix. The absence of Medicaid billing suggests either a Medicare-only panel, billing alignment with private payers, or that Medicaid services are not reported to this data source.

Revenue concentration is significant at the code level: 74183 accounts for $76.1K (24.0% of Medicare revenue), 72197 for $57K (18.0%), and 78815 for $27.4K (8.6%). That precomputed top-3 share (50.6%) indicates over half of Medicare revenue comes from a small set of high-yield imaging services, which has implications for business risk if referral patterns or reimbursement for those modalities change.

Competitive standing on the top MRI codes is strong: 74183 ranks #204 of 7242 providers nationally (97th percentile) and 72197 ranks #215 of 4732 providers nationally (95th percentile), with reported volumes described as notably above typical national volume for these codes. This suggests the provider is a major national outlier in abdominal and pelvic MRI volume relative to peers, which may reflect a local referral specialization or high local demand for contrast-enhanced MRI.

By contrast, PET/CT (78815) and many CT and ultrasound codes sit at typical national volumes: 78815 ranks #5599 of 6566 providers nationally (13th percentile) and is characterized as typical, unremarkable volume for this code, while CT abdomen/pelvis with contrast (74177) and several ultrasound codes fall in mid percentiles. This mix indicates the practice’s MRI strength is not mirrored across all advanced modalities—PET/CT appears to be a smaller component of activity and revenue.

The provider’s procedural mix includes a substantial number of lower-reimbursement, high-frequency studies alongside high-reimbursement, lower-frequency studies: for example, 71045 has 383 claims at $7 avg paid/claim totaling $2.7K, while higher-paid procedures like 78815 have far fewer claims but much larger per-claim payments. That pattern is consistent with an imaging operation that performs routine radiographs and screening mammography in volume but derives the majority of revenue from advanced imaging services.

Tenure in the Medicare program is established: the NPI was enumerated on 2013-03-28 (~13 years ago), indicating a stable presence in the Medicare billing stream. This length of enrollment supports the interpretation that observed volume patterns (especially high MRI volumes) are sustained rather than transient.

From a payer strategy and competitive analysis perspective, the provider should be considered a specialized MRI-heavy participant with national-level outlier status on key MRI codes and no Medicaid footprint to leverage for low-income populations. Analysts evaluating network negotiations, modality investments, or referral relationships should prioritize abdominal and pelvic MRI activity (74183, 72197) given their outsized role in this provider’s Medicare revenue profile.

Medicare: Complete Services Breakdown

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	250	$310	$76.1K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	200	$290	$57K
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.…	20	$1,440	$27.4K
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.	150	$150	$22.9K
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…	150	$140	$22K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	140	$100	$14K
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…	40	$320	$11.8K
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.	90	$110	$9.9K
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…	150	$60	$8.9K
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.	80	$90	$7.2K

Showing 1–10 of 60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Sergey Leshchinskiy — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

60 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	28	30	450	$40	$19.4K
77063	28	30	450	$30	$15K
74177	17	40	140	$60	$10.9K
72197	1	10	30	$150	$9.1K
70450	17	30	190	$30	$7.7K
78815	17	20	50	$100	$7.7K
74183	1	20	30	$160	$7.2K
71260	19	30	80	$40	$4.8K
71250	9	30	100	$40	$4.1K
71275	12	30	40	$60	$4K

Showing 1–10 of 60

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Borys Krynyckyi	NJ	Nuclear Medicine Physician	$1.4M	$0
James Wurzer	NJ	Radiation Oncology Physician	$940.1K	$0
Micah Watts	NJ	Vascular & Interventional Radiology Physician	$777.9K	$0
Tejas Patel	PA	Diagnostic Radiology Physician	$655.6K	$0
Marshall Koven	NJ	Diagnostic Radiology Physician	$599.3K	$0
Matthew Samra	NJ	Vascular Surgery Physician	$598.5K	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Charles Ko	NJ	Diagnostic Radiology Physician	$575.3K	$0
Robert Panico	NJ	Diagnostic Radiology Physician	$564.1K	$6.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$332.2M
Howard Center Inc	VT	Adolescent and Children Mental Health Clinic/Center	$0	$130.1M
Vermont Department Of Mental Health	VT	Adult Mental Health Clinic/Center	$0	$105.1M
Community Health Centers Of Burlington Inc	VT	Federally Qualified Health Center (FQHC)	$0	$39.8M
Howard Center Inc	VT	Methadone Clinic	$517.9K	$35M
Howard Center Inc	VT	State or Local Public Health Clinic/Center	$0	$23.4M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Transition Ii	VT	Case Manager/Care Coordinator	$0	$17.3M
The Dental Center At Community Health Center Of Burlington	VT	Dental Clinic/Center	$0	$6.7M
City Of Burlington Vermont	VT	Land Ambulance	$677.2K	$4.3M

Sergey Leshchinskiy — Billing Profile & Reimbursement Data

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Sergey Leshchinskiy — 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