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

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

Jeffry Ailes (NPI 1649227935)

Field	Value
Entity Type	Individual
Organization	Jeffry Ailes
Address	7601 Pioneers Blvd
City	Lincoln
State	NE
ZIP	68506
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider’s Medicare business is concentrated in advanced nuclear/PET imaging and breast imaging: A9596 (Gallium ga-68 gozetotide) accounts for $371.5K and 36.7% of the provider’s Medicare revenue, 78815 (PET/CT) accounts for $226.4K and 22.4%, and 77067 (screening mammography) contributes $81.9K and 8.1%. The precomputed top-3 concentration is 67.1% of total Medicare revenue, indicating that roughly two-thirds of Medicare revenue is driven by a small set of high-value imaging services.

Scale and payer mix are highly Medicare-dominated: total Medicare revenue is $1.1M while there is no Medicaid billing on file (none below). In practical terms this provider operates as an effectively single-payer (Medicare) biller, which concentrates revenue exposure to Medicare reimbursement and utilization trends rather than a mixed Medicaid/Medicare payer portfolio.

Clinical/service-line implications from the code mix point to a hybrid practice with a strong nuclear medicine/PET center plus substantial breast imaging throughput. High-value radiopharmaceutical work (A9596 and A9552) and PET/CT codes (78815, 78816) sit alongside large claim volumes for mammography/tomosynthesis (77067: 910 claims; 77063: 890 claims), suggesting the organization either runs or is affiliated with an imaging site that covers both oncologic PET services and routine breast screening.

Competitive standing on key codes is mixed but contains several high-percentile placements: A9596 ranks #13 of 168 providers nationally and is in the 93th percentile (characterized in the data as typical, unremarkable volume for this code), while 78815 ranks #950 of 6566 (85th percentile; typical, unremarkable volume). Several other codes show above-typical national placement — 71260 ranks #763 of 20343 (96th percentile; notably above typical), 77065 ranks #310 of 9312 (97th percentile; notably above typical), and 72158 ranks #227 of 5557 (96th percentile; notably above typical) — indicating pockets of higher-than-average throughput in CT and MRI breast/spine services.

Operational attention should be given to the dominant radiopharmaceutical line: A9596 had 446 claims with an average paid/claim of $833, generating $371.5K. Given that A9596 alone is 36.7% of Medicare revenue and the top three codes together are 67.1% of Medicare revenue, any shifts in radiopharmaceutical access, reimbursement, or PET utilization could materially affect revenue.

The provider shows substantial screening mammography volume by claim count: 77067 had 910 claims ($90 avg paid/claim, $81.9K) and 77063 had 890 claims ($42 avg paid/claim, $37.4K), which points to steady throughput for breast screening and tomosynthesis services that supplement the heavier revenue from PET imaging. These high claim counts support the interpretation that routine breast imaging is a meaningful operational line even if it contributes less to total dollars than PET radiopharmaceuticals.

Tenure is long-standing: the NPI was enumerated on 2006-05-30 (~20 years ago), indicating the provider has an extended presence in Medicare billing data and likely established operational workflows and referral relationships over time. This longevity, combined with high-percentile placements on specific CT/MRI codes, suggests sustained regional activity rather than a recent surge.

Beyond PET and mammography, the provider reports several moderately high-volume cross-sectional and nuclear studies across CT, MRI and bone scan codes (examples include 74177 $49.4K, 70553 $29.3K, 78306 $15.2K). These additional lines diversify service mix within radiology, but given the 67.1% concentration in the top 3 codes, the overall revenue profile remains top-heavy toward PET-related services.

Medicare: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9596	Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie	450	$830	$371.5K
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.…	220	$1,050	$226.4K
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…	910	$90	$81.9K
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.	330	$150	$49.4K
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…	890	$40	$37.4K
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…	200	$150	$29.3K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	260	$90	$23.8K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	140	$130	$18.5K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	20	$1,050	$17.8K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	300	$60	$17.2K

Showing 1–10 of 84

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 84 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Jeffry Ailes — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

84 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9596	2	10	280	$820	$243.3K
78815	5	60	70	$380	$32.7K
77067	18	190	110	$50	$17.2K
74177	26	160	170	$80	$15.3K
A9552	2	10	70	$140	$13K
78816	16	20	20	$410	$12.7K
19081	4	10	20	$310	$10.7K
77063	17	180	140	$30	$10.1K
70553	11	90	70	$90	$9.2K
70450	108	140	200	$30	$8.2K

Showing 1–10 of 84

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Madonna Rehabilitation Hospital	NE	Rehabilitation Hospital	$0	$1.6M
Radiology Associates PC	NE	Diagnostic Radiology Physician	$0	$931.6K
Curtis Burhoop	NE	Diagnostic Radiology Physician	$687.7K	$0
Jonathan Felt	NE	Diagnostic Radiology Physician	$527.9K	$0
Madonna Rehabilitation Hospital	NE	Physical Medicine & Rehabilitation Physician	$0	$434.4K
Mary Curtis	NE	Diagnostic Radiology Physician	$367.7K	$0
Ayodale Odulate	NE	Diagnostic Radiology Physician	$364.9K	$0
Erin Bravo	WI	Diagnostic Radiology Physician	$331.6K	$0
Scott Akin	AL	Diagnostic Radiology Physician	$189K	$52.6K
Kevin Gillespie	NE	Diagnostic Radiology Physician	$224.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Medical Center	NE	General Acute Care Hospital	$0	$56.9M
Integrated Behavioral Health Services	NE	Community/Behavioral Health Agency	$0	$16.3M
Nebraska Emergency Medicine PC	NE	Emergency Medicine Physician	$0	$14.9M
Firstcare Home Health Of Eastern Nebraska, Inc	NE	Home Health Agency	$0	$6.6M
Matthew Wood	NE	Ophthalmology Physician	$3.9M	$0
Eric Avery	NE	Hematology & Oncology Physician	$3.1M	$0
Daniel Chruscicki	NE	Ophthalmology Physician	$3M	$0
Kailash Mosalpuria	NE	Hematology & Oncology Physician	$2.9M	$0
Integrated Cardiology Group LLC	NE	Cardiovascular Disease Physician	$0	$2.7M
Madhu Midathada	NE	Hematology & Oncology Physician	$2.3M	$0

Jeffry Ailes — 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