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

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

Diagnostic Radiology Associates, LLC (NPI 1700837374)

Diagnostic Radiology Associates, LLC is a radiology clinic/center provider located in Waterbury, Connecticut. This profile covers 0 Medicare and 63 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	Diagnostic Radiology Associates, LLC
Address	134 Grandview Ave
City	Waterbury
State	CT
ZIP	06708
Taxonomy	Radiology Clinic/Center
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

63 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.	13,390	$40	$468.5K
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.	22,150	$10	$288K
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.	8,610	$30	$249.5K
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…	3,470	$60	$204.4K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	3,630	$50	$167.1K
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…	27,180	$10	$135.9K
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…	44,700	$1	$89.4K
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…	2,240	$30	$55.9K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	2,630	$20	$47.3K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	470	$50	$24.6K

Showing 1–10 of 63

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Diagnostic Radiology Associates, LLC — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

63 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.	14	70	4,950	$110	$980.4K
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.	10	80	4,320	$50	$461.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	34	60	560	$380	$437.2K
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…	40	80	3,260	$70	$376.2K
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.	7	50	2,560	$100	$368.6K
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…	16	130	600	$30	$329.2K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	24	40	730	$160	$282.9K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	28	50	1,250	$110	$280.9K
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…	32	60	1,680	$70	$251.3K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	27	50	2,630	$50	$198.1K

Showing 1–10 of 63

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Imaging Subspecialists Of North Jersey, LLC	NJ	Diagnostic Radiology Physician	$0	$7.5M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Vivek Sehgal	NJ	Diagnostic Radiology Physician	$281.4K	$265.1K
Edmund Harris	NJ	Diagnostic Radiology Physician	$421.5K	$65.4K
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
Drew Hunter	AZ	Diagnostic Radiology Physician	$306.2K	$0
Norman Pennington	NJ	Diagnostic Radiology Physician	$207.4K	$17.2K
Gregory Babigian	NJ	Diagnostic Radiology Physician	$216.3K	$4.1K
Venkat Ramana Reddy	NJ	Diagnostic Radiology Physician	$183.6K	$60
Brian Girard	CT	Diagnostic Radiology Physician	$146.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Waterbury, Inc.	CT	General Acute Care Hospital	$0	$84.6M
Access Rehab Centers, LLC	CT	Rehabilitation Clinic/Center	$0	$36.9M
Emergency Physicians Of Connecticut PC	CT	Emergency Medicine Physician	$0	$10.8M
Connecticut Counseling Centers Inc	CT	Methadone Clinic	$196.2K	$9.9M
Pediatric Assoc Of Conn PC	CT	Pediatrics Physician	$0	$8.5M
Refocus Eye Health Of Central Connecticut, P.C.	CT	Ophthalmology Physician	$0	$8.2M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$4.7M
General Hearing	CT	Hearing Instrument Specialist	$0	$4.3M
Connecticut Neurodevelopmental Services	CT	Neurology with Special Qualifications in Child Neurology Physician	$0	$4M
Easter Seal Rehabilitation Center	CT	Rehabilitation Clinic/Center	$0	$3.9M

Diagnostic Radiology Associates, 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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