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.

Charlotte Radiology P A (NPI 1649220443)

Charlotte Radiology P A is a specialist provider located in Charlotte, North Carolina. This profile covers 0 Medicare and 95 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Charlotte Radiology P A
Address	700 E Morehead St Ste 300
City	Charlotte
State	NC
ZIP	28202
Taxonomy	Specialist
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

95 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	100,470	$50	$4.7M
70450	The 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.	127,830	$20	$2.8M
71045	In 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…	327,100	$10	$1.6M
71046	In 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…	233,230	$10	$1.6M
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…	13,030	$70	$899K
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…	17,900	$50	$877.1K
71275	In 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…	16,020	$50	$769.1K
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.	16,620	$40	$631.5K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	19,140	$30	$574.3K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	29,440	$20	$559.4K

Showing 1–10 of 95

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Charlotte Radiology P A — 22 of 25 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. North Carolina median

95 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.	1	160	490	$100	$435.6K
70450	The 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.	1	170	690	$40	$221.9K
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…	3	40	320	$90	$171.8K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	59	80	770	$50	$135.7K
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.	1	50	230	$70	$126.9K
71045	In 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…	1	220	1,540	$10	$118.7K
71275	In 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…	2	60	210	$60	$97K
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.	3	100	170	$70	$85.4K
71046	In 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…	1	370	290	$10	$75.8K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	3	60	130	$50	$63.4K

Showing 1–10 of 95

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scotland Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$39.4M
Victor Archie	VA	Radiation Oncology Physician	$4M	$0
Scotland Memorial Hospital Inc	SC	Rural Health Clinic/Center	$0	$1.6M
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Joseph Kelley	NC	Radiation Oncology Physician	$878.9K	$0
Hari Saini	NC	Cardiovascular Disease Physician	$846.6K	$0
Mahmoud Atieh	NC	Interventional Cardiology Physician	$649.6K	$0
Yeonhee Lee	NC	Diagnostic Radiology Physician	$468.6K	$0
John Michalak	NC	Urology Physician	$411.2K	$0
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Discovery Aba Nc LLC	NC	Community/Behavioral Health Agency	$0	$14M
Charlotte-mecklenburg Schools	NC	Local Education Agency (LEA)	$0	$9.8M
Pinnacle Family Services Of North Carolina LLC	NC	Community/Behavioral Health Agency	$0	$9.4M
Ashley Toci	NC	Rheumatology Physician	$1.7M	$0
Heather Gladue	NC	Rheumatology Physician	$1.7M	$0
Ahmad Kashif Al Ghita	NC	Rheumatology Physician	$1.6M	$0
Gordon Lam	NC	Rheumatology Physician	$1.3M	$0
Elnaz Tabrizi	NC	Rheumatology Physician	$788.7K	$0
Byron Gaing	NC	Diagnostic Radiology Physician	$355.9K	$26.9K
Christina Chaconas	NC	Diagnostic Radiology Physician	$317.6K	$0

Charlotte Radiology P A — Billing Profile & Reimbursement Data

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Charlotte Radiology P A — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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