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NPI 1679955959 · Providence, RI · Diagnostic Radiology Physician
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Michael Longo is a diagnostic radiology physician provider located in Providence, Rhode Island. This profile covers 74 Medicare and 7 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 | Individual |
| Organization | Michael Longo |
| Address | 593 Eddy St |
| City | Providence |
| State | RI |
| ZIP | 02903 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | June 23, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $359.9K |
| Medicaid | $25.1K |
This provider’s billing is heavily Medicare‑weighted: lifetime Medicare revenue is $359.9K compared with $25.1K in Medicaid, indicating Medicare is the dominant payer by scale for this diagnostic radiology practice. The disparity suggests the provider’s referral and patient mix is concentrated in the Medicare population rather than Medicaid.
Procedure mix shows a clear CT/MRI diagnostic imaging focus consistent with the listed taxonomy of Diagnostic Radiology Physician: high‑volume CT abdomen/pelvis with contrast (74177), CT head without contrast (70450), and MRI pelvis with and without contrast (72197) dominate the portfolio, alongside CT angiography of the chest (71275) and multiple spine CT codes. This mix points to an operation structured for throughput CT services with complementary MRI and vascular ultrasound capacity.
Revenue concentration on Medicare is meaningful but not singular: the precomputed top 3 Medicare codes account for 37.8% of this provider’s Medicare revenue, driven by 74177 (22.7%), 72197 (8.6%), and 70450 (6.5%). Those three services are the principal revenue drivers on Medicare and indicate where reductions or shifts in volume would most affect earnings.
Medicaid revenue is much more concentrated: the precomputed top 3 Medicaid codes account for 83.0% of Medicaid revenue, dominated by 74177 at 58.8%, followed by 70450 at 13.4% and 71046 at 10.8%. This shows the provider’s Medicaid business is narrowly focused on a small set of imaging services, especially CT abdomen/pelvis.
National competitive standing on key Medicare codes shows pockets of exceptional volume: 74177 ranks #75 of 23621 nationally (100th percentile; extreme outlier), and 72125 ranks #105 of 17442 (99th percentile; extreme outlier), indicating this provider performs far above typical national volumes for those CT services. Several other Medicare codes (e.g., 70450 at the 95th percentile, 71260 at the 97th percentile, 70496/70498 at the mid‑90s percentiles) are labeled notably above typical national volume, supporting the characterization of unusually high CT throughput.
By contrast, Medicaid competitive standing is modest in‑state: 74177 ranks #27 of 59 providers in‑state (55th percentile), 70450 ranks #26 of 59 (57th percentile), and chest x‑ray codes sit near the middle of state peers, indicating a typical, unremarkable in‑state footprint for these services rather than dominance. The provider appears to be a stronger national outlier in Medicare volumes than a standout competitor within the Rhode Island Medicaid market.
The statistical outlier labels for specific CT codes (e.g., 74177 described as an "extreme outlier" nationally and several CT codes as "notably above typical national volume") suggest either a high local referral concentration for abdominal/pelvic CT and spine imaging or operational focus on high‑throughput CT services. These patterns are consistent with a practice that has optimized capacity for CT-based diagnostics rather than a broad multispecialty imaging mix.
The NPI was enumerated 2015-06-23 (~11 years ago), indicating an established provider presence in the market. Combined with the Medicare revenue scale and the CT‑centric code mix, tenure supports a picture of a mature outpatient diagnostic radiology operation with entrenched referral activity for the high‑volume imaging services identified above.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
74 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. | 840 | $80 | $70.3K |
| 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. | 110 | $240 | $26.7K |
| 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. | 690 | $30 | $20K |
| 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… | 260 | $70 | $18K |
| 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. | 110 | $170 | $17.9K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 370 | $50 | $17.9K |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 420 | $40 | $15K |
| 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. | 180 | $80 | $13.7K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 270 | $50 | $13.6K |
| 70496 | The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in… | 180 | $70 | $11.8K |
Showing 1–10 of 74
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 74 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 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. | 240 | $60 | $15K |
| 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. | 130 | $30 | $3.4K |
| 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… | 340 | $10 | $2.7K |
| 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… | 390 | $10 | $2.3K |
| 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… | 10 | $70 | $780 |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 10 | $60 | $700 |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 10 | $40 | $530 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
7 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. | 27 | 60 | 160 | $110 | $162.4K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 15 | 20 | 200 | $190 | $100.4K |
| 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. | 26 | 60 | 90 | $70 | $79.2K |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 21 | 20 | 170 | $80 | $69.8K |
| 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… | 57 | 130 | 260 | $30 | $52K |
| 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… | 20 | 20 | 60 | $120 | $37.7K |
| 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… | 32 | 80 | 240 | $20 | $34.8K |
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