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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Mrunal Tailor (NPI 1730573239)

Field	Value
Entity Type	Individual
Organization	Mrunal Tailor
Address	8020 Constitution Pl Ne Ste 202
City	Albuquerque
State	NM
ZIP	87110
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 23, 2015

Payer Source	Total Paid
Medicare	$897.5K
Medicaid	$0

Key Findings

This profile is dominated by radionuclide and PET/CT imaging: A9595 (Piflufolastat f-18) and 78815 (PET and CT fusion imaging) together generate the majority of procedure-driven revenue, and the top three Medicare codes (A9595, 78815, 74183) are precomputed to account for 78.9% of this provider's total Medicare revenue. The provider reported $897.5K in total Medicare revenue and no Medicaid billing on file, so revenue-driving services appear concentrated in advanced diagnostic imaging rather than primary care or procedures reimbursed through Medicaid.

Revenue concentration is high: A9595 alone accounts for $390.5K (44.3% of Medicare revenue) and 478 claims, while 78815 contributes $264K (29.9%) with 227 claims, and 74183 contributes $41.7K (4.7%). The precomputed top-3 share of 78.9% indicates the practice’s financial performance is heavily dependent on a narrow set of imaging services, making those codes critical to operational and payer-contracting decisions.

Payer mix is effectively single-payer Medicare: the record shows $897.5K of Medicare revenue and explicitly “none below” for Medicaid billing. This makes the provider highly exposed to Medicare reimbursement policy and utilization trends, and it lacks Medicaid revenue diversification at the time of these records.

Competitive standing for the largest codes is mixed: A9595 ranks #108 of 528 providers nationally (80th percentile) and is labeled "typical, unremarkable volume," while 78815 ranks #891 of 6566 providers (86th percentile) also labeled "typical, unremarkable volume." By contrast, 74183 ranks #441 of 7242 providers (94th percentile) and is labeled "notably above typical national volume," indicating comparatively stronger national footprint for abdominal MRI with contrast.

There are notable high-volume consumable/contrast patterns that do not proportionally drive revenue: A9581 (Injection, gadoxetate disodium) shows 1.2K claims for $14.3K revenue and ranks #8 of 154 providers nationally (95th percentile), marked "notably above typical national volume." High claim counts for low–avg-paid items suggest this practice either performs many contrast-enhanced MRIs or bills contrast separately, which has operational implications for supply management and per-study costing.

Service-line mix beyond PET/CT is broad: the provider also bills a range of CT, MRI, mammography (77067, 77063), and multiple ultrasound codes (76700, 76830, 76770, 76856), indicating a multi-modality diagnostic radiology operation rather than a single-test specialty shop. Those ancillary imaging services collectively represent smaller revenue buckets but support a full outpatient imaging portfolio and may drive patient flow into higher-revenue PET/CT studies.

Tenure is stable but not long-established: the NPI was enumerated on 2015-03-23 (~11 years ago), suggesting the provider has had roughly a decade to build imaging volumes and referral relationships, which aligns with observed concentrated PET/CT utilization. This tenure supports the plausibility that the observed code mix is an established operational pattern rather than a transient spike.

From a competitive and contracting perspective, the profile reads as a modest national player for PET-related codes (both labeled "typical, unremarkable volume") with pockets of stronger performance in abdominal MRI and contrast utilization (74183 and A9581 labeled "notably above typical national volume"). Given the lack of Medicaid billing, payers and network managers should treat this entity as Medicare-centric when assessing network value and utilization oversight.

Medicare: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	480	$820	$390.5K
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.…	230	$1,160	$264K
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.	180	$230	$41.7K
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.	200	$180	$35.7K
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.	120	$230	$27.1K
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	$1,100	$17.6K
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…	150	$120	$17.5K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	130	$130	$16.3K
A9581	Injection, gadoxetate disodium, 1 ml	1,190	$10	$14.3K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	140	$80	$11.4K

Showing 1–10 of 41

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Mrunal Tailor — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

41 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9595	2	10	440	$700	$309K
78815	3	30	70	$600	$62.8K
77067	45	70	180	$70	$37.2K
77063	42	70	170	$40	$18.5K
A9581	3	10	1,550	$10	$16.8K
74183	5	30	30	$170	$15.4K
A9552	4	20	100	$160	$15.1K
72197	4	20	80	$160	$13K
74177	36	130	120	$80	$12.5K
78816	9	20	20	$620	$11.2K

Showing 1–10 of 41

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carilion Medical Center	VA	General Acute Care Hospital	$0	$124.7M
Carilion Medical Center	VA	Multi-Specialty Clinic/Center	$0	$73.4M
Otero County Hospital Association	NM	General Acute Care Hospital	$0	$73.2M
Carilion New River Valley Medical Center	VA	General Acute Care Hospital	$0	$32.4M
Cibola General Hospital Corporation	NM	Critical Access Hospital	$0	$26.5M
Carilion Healthcare Corporation	VA	Multi-Specialty Clinic/Center	$0	$26.1M
Carilion Franklin Memorial Hospital	VA	General Acute Care Hospital	$0	$18.4M
Carilion Medical Center	VA	Emergency Medicine Physician	$0	$18.1M
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1st Care Of New Mexico LLC	NM	In Home Supportive Care Agency	$0	$86.5M
Community Options, Inc	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$76.7M
Abarim Home Health Care Inc.	NM	Community Based Hospice Care Agency	$0	$66M
New Mexico Department Of Health	NM	Customized Equipment (DME)	$0	$60.4M
Independent Living Resource Center	NM	Personal Care Attendant	$0	$57.7M
Ability First, LLC	NM	Exclusive Provider Organization	$0	$49M
Alta Mira Specialized Family Services, Inc.	NM	Community/Behavioral Health Agency	$0	$46.2M
Southwest Family Guidance Center LLC	NM	Adolescent and Children Mental Health Clinic/Center	$0	$32.7M
Aid Home Health Care Services LLC.	NM	Home Health Agency	$0	$32.4M
Active Solutions Incorporated	NM	Developmentally Disabled Services Day Training Agency	$0	$31.3M

Mrunal Tailor — 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