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NPI 1720134547 · Arlington, MA · Diagnostic Radiology Physician
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Hetal Verma is a diagnostic radiology physician provider located in Arlington, Massachusetts. This profile covers 10 Medicare and 8 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 | Hetal Verma |
| Address | 12 Brattle Ln |
| City | Arlington |
| State | MA |
| ZIP | 02474 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | January 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $178.3K |
| Medicare | $41.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 320 | $70 | $21.8K |
| 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… | 320 | $40 | $12.1K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 20 | $110 | $2.4K |
| 76982 | The provider carries out ultrasound elastography of an initial suspicious lesion to help determine whether it is benign or malignant by measuring its return to normal shape after distortion by… | 20 | $70 | $1.4K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 40 | $30 | $1.1K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 30 | $40 | $930 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 40 | $20 | $880 |
| 77065 | The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential… | 20 | $30 | $620 |
| 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. | 20 | $30 | $440 |
| 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… | 10 | $10 | $80 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
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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.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,340 | $40 | $98.2K |
| 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… | 2,330 | $20 | $53.6K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 780 | $30 | $20.3K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 80 | $40 | $2.8K |
| 77062 | In this procedure, the provider performs digital tomosynthesis of both breasts for diagnostic purposes. This digital mammography isolates very thin layers of breast tissues to achieve a clear view of… | 60 | $40 | $2.5K |
| 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… | 60 | $10 | $530 |
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 20 | $30 | $500 |
| 76815 | The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses. | 10 | $20 | $270 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 150 | 160 | 390 | $70 | $186.5K |
| 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… | 79 | 260 | 470 | $40 | $148.9K |
| 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… | 95 | 300 | 460 | $30 | $137.9K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 59 | 130 | 480 | $70 | $126K |
| 76815 | The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses. | 94 | 100 | 160 | $70 | $89.8K |
| 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… | 385 | 590 | 150 | $10 | $61.1K |
| 77062 | In this procedure, the provider performs digital tomosynthesis of both breasts for diagnostic purposes. This digital mammography isolates very thin layers of breast tissues to achieve a clear view of… | 33 | 60 | 100 | $70 | $52.5K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 53 | 90 | 210 | $30 | $38.5K |
Other providers in the same ZIP code as Hetal Verma, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Armstrong Ambulance Service | MA | Ambulance | $4.6M | $12.4M |
| Town Of Arlington | MA | Land Ambulance | $338.9K | $581.6K |
| Darcy Thomas | MA | Family Medicine Physician | $31.8K | $0 |
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