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NPI 1619446325 · Worcester, MA · Magnetic Resonance Imaging (MRI) Clinic/Center
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Umass Memorial Mri & Imaging Center, LLC is a magnetic resonance imaging (mri) clinic/center provider located in Worcester, Massachusetts. This profile covers 18 Medicare and 8 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 | Umass Memorial Mri & Imaging Center, LLC |
| Address | 55 Lake Ave N Ste H1-351a |
| City | Worcester |
| State | MA |
| ZIP | 01655 |
| Taxonomy | Magnetic Resonance Imaging (MRI) Clinic/Center |
| NPI Enumerated | November 26, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $216.4K |
| Medicare | $102.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 75561 | The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with… | 80 | $220 | $17.6K |
| 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… | 100 | $180 | $17.4K |
| 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. | 60 | $200 | $11.3K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 80 | $120 | $8.8K |
| 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. | 40 | $210 | $7.5K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 50 | $100 | $5.3K |
| 76391 | The provider places a vibration source over suspicious tissue or an organ such as the liver to cause the tissue to vibrate and uses magnetic resonance imaging to assess the elasticity or stiffness of… | 40 | $130 | $5.2K |
| 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. | 60 | $90 | $5K |
| 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 | $110 | $4.3K |
| 72158 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material. | 20 | $160 | $3.4K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 70553 | 133 | 330 | 70 | $130 | $14.8K |
| 74183 | 168 | 280 | 50 | $140 | $12.3K |
| 72197 | 64 | 190 | 40 | $150 | $9.9K |
| 72148 | 215 | 400 | 60 | $90 | $9K |
| 73721 | 78 | 200 | 60 | $100 | $8.8K |
| 73221 | 149 | 180 | 50 | $110 | $7.5K |
| 70551 | 248 | 400 | 60 | $80 | $6.7K |
| 75561 | 5 | 40 | 40 | $120 | $5.6K |
| 72141 | 95 | 290 | 40 | $80 | $4.6K |
| 72158 | 100 | 190 | 20 | $130 | $3.9K |
Showing 1–10 of 18
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.
8 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… | 410 | $300 | $121.8K |
| 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. | 250 | $150 | $36.1K |
| 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. | 160 | $140 | $22.4K |
| 75561 | The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with… | 60 | $260 | $16.1K |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 1,410 | $10 | $15.5K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 30 | $140 | $3.9K |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 10 | $20 | $290 |
| A9585 | Injection, gadobutrol, 0.1 ml | 20 | $1 | $50 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 54 | 110 | 310 | $210 | $331K |
| 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. | 64 | 110 | 340 | $160 | $211.7K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 95 | 110 | 660 | $140 | $176.7K |
| 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. | 42 | 80 | 260 | $150 | $94.1K |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 22 | 50 | 1,180 | $10 | $25.2K |
| A9585 | Injection, gadobutrol, 0.1 ml | 36 | 40 | 1,350 | $10 | $17.2K |
| 75561 | The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with… | 3 | 10 | 30 | $210 | $9.8K |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 31 | 30 | 270 | $10 | $3.3K |
Other providers in the same ZIP code as Umass Memorial Mri & Imaging Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Umass Memorial Medical Center, Inc. | MA | General Acute Care Hospital | $0 | $490.8M |
| Umass Memorial Medical Group Inc | MA | Internal Medicine Physician | $0 | $98.5M |
| Hesham Malik | MA | Diagnostic Radiology Physician | $3.9M | $0 |
| Bradley Switzer | MA | Internal Medicine Physician | $524.2K | $0 |
| Ilsa Grunder | MA | Nurse Practitioner | $419.2K | $0 |
| Erica Ghosh | MA | Diagnostic Radiology Physician | $286.3K | $110K |
| Matthew Peckham | MA | Diagnostic Radiology Physician | $348.3K | $1.1K |
| Thomas Fitzgerald | MA | Radiation Oncology Physician | $293.9K | $0 |
| Ryan Holstead | MA | Hematology & Oncology Physician | $270.2K | $7.6K |
| Robert Lee | MA | Diagnostic Radiology Physician | $269.3K | $0 |
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