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

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

The Radiology Clinic LLC (NPI 1649235243)

The Radiology Clinic LLC is a diagnostic radiology physician provider located in Tuscaloosa, Alabama. This profile covers 0 Medicare and 34 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	The Radiology Clinic LLC
Address	208 Mcfarland Cir N
City	Tuscaloosa
State	AL
ZIP	35406
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicaid	$932.4K
Medicare	$0

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	15,540	$20	$310.7K
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…	69,010	$1	$207K
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…	31,180	$10	$187.1K
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.	4,210	$40	$147.5K
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.	1,130	$30	$34K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	1,750	$10	$17.4K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	300	$30	$8.5K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	1,480	$1	$5.9K
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…	130	$20	$2.5K
74022	The provider takes two or more views of the entire abdomen including stomach, liver, spleen, large and small intestines, and diaphragm and a single view of the chest for assessment of suspected acute…	300	$10	$2.4K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

The Radiology Clinic LLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	6	110	340	$30	$90.9K
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.	9	80	200	$40	$90.3K
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…	15	20	250	$50	$72.4K
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…	7	160	1,080	$1	$46.7K
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.	28	30	70	$100	$42.2K
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.	13	60	130	$30	$32.3K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	147	150	260	$40	$27.8K
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…	5	250	370	$10	$24.6K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	19	80	130	$10	$23.7K
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…	20	30	120	$30	$18.8K

Showing 1–10 of 34

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Terrence Chambers	IN	Diagnostic Radiology Physician	$152.4K	$700.7K
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Ariyan Javadi	WI	Diagnostic Radiology Physician	$58.4K	$543.8K
Cyrus Anderson	FL	Diagnostic Radiology Physician	$388.5K	$0
Sean Desilva	MO	Diagnostic Radiology Physician	$290.6K	$40K
Kevin Hicks	VA	Diagnostic Radiology Physician	$159.2K	$131.6K
Margaret Guarisco	AL	Diagnostic Radiology Physician	$215.7K	$0
Jason Bearden	AL	Diagnostic Radiology Physician	$197.1K	$0
Ben Paxton	AZ	Diagnostic Radiology Physician	$195.8K	$0
Jason Stuckey	AL	Diagnostic Radiology Physician	$187K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$6.4M
Capstone Kids LLC	AL	Pediatric Dentistry	$0	$3.5M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$2.8M
Southern Surgical Associates LLC	AL	Surgery Physician	$0	$2M
Tuscaloosa Pediatrics	AL	Pediatrics Physician	$0	$1.5M
First Kids	AL	Family Medicine Physician	$0	$1.4M
Tuscaloosa Ear Nose & Throat Center PC	AL	Otolaryngology Physician	$0	$1.2M
Bruce A Petitt M.d. P.C.	AL	Pediatrics Physician	$0	$938.2K
Tuscaloosa Nephrology Associates PC	AL	Nephrology Physician	$0	$936.6K
George Hemstreet	AL	Interventional Cardiology Physician	$935.1K	$0

The Radiology Clinic LLC — Billing Profile & Reimbursement Data

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The Radiology Clinic LLC — 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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