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NPI 1619462694 · Wake Forest, NC · Diagnostic Radiology Physician
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Duke University Health System Inc is a diagnostic radiology physician provider located in Wake Forest, North Carolina. This profile covers 32 Medicare and 6 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 | Duke University Health System Inc |
| Address | 3000 Rogers Rd |
| City | Wake Forest |
| State | NC |
| ZIP | 27587 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | June 22, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $150.8K |
| Medicaid | $14.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 470 | $80 | $39K |
| 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. | 170 | $160 | $28K |
| 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… | 60 | $190 | $11.6K |
| 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… | 470 | $20 | $10.3K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 120 | $60 | $6.7K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 130 | $50 | $6.3K |
| 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 | $60 | $4.6K |
| 71271 | The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer. | 50 | $80 | $4.1K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 40 | $80 | $3.1K |
| 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. | 40 | $70 | $2.7K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 77067 | 191 | 650 | 180 | $70 | $24.7K |
| 77063 | 188 | 640 | 180 | $40 | $12.4K |
| 74177 | 270 | 840 | 110 | $80 | $11.9K |
| 70450 | 596 | 770 | 160 | $30 | $7.1K |
| 74176 | 533 | 800 | 60 | $70 | $5.2K |
| 93880 | 603 | 700 | 40 | $80 | $5.1K |
| 71250 | 211 | 740 | 70 | $50 | $4.8K |
| 74178 | 50 | 400 | 20 | $110 | $4.2K |
| 71260 | 152 | 700 | 60 | $50 | $4.1K |
| 70496 | 329 | 400 | 40 | $70 | $3.9K |
Showing 1–10 of 32
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 130 | $60 | $8.1K |
| 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… | 130 | $20 | $2.2K |
| 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. | 20 | $90 | $1.4K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 30 | $50 | $1.4K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 10 | $60 | $720 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 30 | $10 | $300 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 147 | 160 | 490 | $100 | $435.6K |
| 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… | 53 | 90 | 190 | $40 | $48.2K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 117 | 130 | 670 | $20 | $29.8K |
| 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… | 42 | 80 | 170 | $20 | $29K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 117 | 120 | 110 | $50 | $24.4K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 47 | 60 | 90 | $40 | $14.8K |
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 |
| Daniel Henry | NC | Physical Therapist | $157.9K | $0 |
| Samantha Ward | NC | Optometrist | $112.6K | $0 |
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