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

Why is the Medicaid comparison limited to North Carolina 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 Carolina (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.

Duke University Health System Inc (NPI 1619431277)

Field	Value
Entity Type	Organization
Organization	Duke University Health System Inc
Address	3000 Rogers Rd
City	Wake Forest
State	NC
ZIP	27587
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	January 29, 2019

Payer Source	Total Paid
Medicare	$33.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	60	$150	$8.7K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	70	$90	$6.3K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	40	$100	$3.7K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	40	$80	$3.2K
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.	40	$90	$3.1K
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.	20	$190	$3K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	30	$100	$2.8K
A9577	Injection, gadobenate dimeglumine (multihance), per ml	1,380	$1	$1.4K
72146	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents without using contrast.	20	$60	$870

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Duke University Health System Inc — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70553	186	370	60	$110	$10.3K
74183	194	230	40	$110	$7K
72148	207	580	50	$80	$6.1K
70551	265	410	60	$60	$5.9K
73721	143	320	30	$80	$4.4K
73221	153	270	30	$80	$4.2K
72141	164	420	30	$70	$3.2K
72146	146	220	20	$70	$1.8K
A9577	5	30	330	$1	$1.1K

Nearby Providers

Other providers in the same ZIP code as Duke University Health System Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Radeas LLC	NC	Clinical Medical Laboratory	$6.5M	$34.3M
Wake Forest Pediatric Associates, PLLC	NC	Pediatrics Physician	$0	$9.8M
Amazing Kids Of Nc, Inc.	NC	Community/Behavioral Health Agency	$0	$7.5M
Trg Health Care Systems LLC	NC	Community/Behavioral Health Agency	$0	$7.1M
Elias Ayli	NC	MOHS-Micrographic Surgery Physician	$1.1M	$0
Edward Galiczynski	NC	Dermatology Physician	$1M	$0
Patricia Matheis	NC	Specialist	$985.1K	$0
Francisco Castillos	NC	Hematology & Oncology Physician	$534K	$0
Duke University Health System Inc	NC	Diagnostic Radiology Physician	$150.8K	$14.1K
Daniel Henry	NC	Physical Therapist	$157.9K	$0

Duke University Health System Inc — Billing Profile & Reimbursement Data

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Duke University Health System Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References