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

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

Boise Radiology Group PLLC (NPI 1740216175)

Boise Radiology Group PLLC is a diagnostic radiology physician provider located in Boise, Idaho. This profile covers 0 Medicare and 72 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	Boise Radiology Group PLLC
Address	620 W Hays St
City	Boise
State	ID
ZIP	83702
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

72 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.	26,560	$60	$1.6M
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.	18,250	$30	$474.4K
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…	68,970	$10	$413.8K
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…	4,080	$60	$232.5K
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…	26,920	$10	$215.4K
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…	8,620	$20	$206.9K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	2,640	$80	$203.4K
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.	4,100	$50	$201K
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…	6,530	$20	$143.6K
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…	3,990	$30	$115.7K

Showing 1–10 of 72

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Boise Radiology Group PLLC — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

72 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.	2	40	530	$70	$237.8K
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.	2	40	510	$30	$75.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	3	10	350	$70	$54.4K
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…	1	20	400	$80	$48.8K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	1	20	130	$100	$47.9K
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…	2	30	420	$30	$38.4K
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…	2	50	1,070	$10	$35K
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.…	5	10	20	$470	$30K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	2	30	90	$60	$29.7K
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.	1	20	110	$60	$29.3K

Showing 1–10 of 72

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carl Odom	ID	Diagnostic Radiology Physician	$1.1M	$0
Casey Mcroy	ID	Diagnostic Radiology Physician	$648.3K	$0
David Mcnaul	MO	Diagnostic Radiology Physician	$269.4K	$0
Jaclyn Andrick	IA	Diagnostic Radiology Physician	$249.7K	$0
Marielia Gerena	NY	Diagnostic Radiology Physician	$154.6K	$59.7K
Yariv Cohen	AK	Diagnostic Radiology Physician	$68.2K	$145K
Jessica Kim	NC	Diagnostic Radiology Physician	$167.3K	$0
Erik Bekkers	CA	Diagnostic Radiology Physician	$144.8K	$0
Bryan Berkey	ID	Diagnostic Radiology Physician	$137.6K	$0
Amaya Basta	OH	Diagnostic Radiology Physician	$132.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$16M
Perma Mental Health PLLC	ID	Psychiatry Physician	$0	$3.1M
Access Behavioral Health Services	ID	Developmentally Disabled Services Day Training Agency	$0	$2.8M
Boise Endoscopy Center LLC	ID	Ambulatory Surgical Clinic/Center	$362.9K	$1.8M
Access Behavioral Health Services, Inc	ID	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.9M
Future Public School, Inc.	ID	Local Education Agency (LEA)	$0	$1.8M
Tomorrow's Hope Statellite Services	ID	Developmentally Disabled Services Day Training Agency	$0	$1.1M
Pain Center Inc	ID	Pain Clinic/Center	$0	$803.8K
Pain Care Center Boise, LLC	ID	Ambulatory Surgical Clinic/Center	$741.8K	$10.4K
Idaho Gastroenterology Associates, LLP	ID	Gastroenterology Physician	$0	$725.1K

Boise Radiology Group PLLC — Billing Profile & Reimbursement Data

Sign up for Boise Radiology Group PLLC — Billing Profile & Reimbursement Data policy alerts

Boise Radiology Group PLLC — Billing Profile & Reimbursement Data

Sign up for Boise Radiology Group PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References