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    OpenPayerNPI Medicare & MedicaidCarl Odom
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    Carl Odom — Billing Profile & Reimbursement Data

    NPI 1740523513 · Boise, ID · Diagnostic Radiology Physician

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    Carl Odom is a diagnostic radiology physician provider located in Boise, Idaho. This profile covers 36 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarl Odom
    Address620 W Hays St
    CityBoise
    StateID
    ZIP83702
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMarch 31, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider’s revenue profile is effectively single‑payer: total Medicare revenue is $1.1M and there is no Medicaid billing on file, so Medicare underwriting drives the practice’s scale and financial exposure rather than a mixed payer portfolio. The precomputed concentration metric shows the top 3 Medicare codes account for 91.3% of this provider’s total Medicare revenue, indicating heavy reliance on a very small set of services.

    Revenue is highly concentrated in three radiopharmaceutical and PET/CT codes: A9607 accounts for $687.6K (63.8% of Medicare revenue), 78815 accounts for $152.6K (14.2%), and A9596 accounts for $143.6K (13.3%); the three together produce the lion’s share of the reported $1.1M. This concentration suggests that changes in reimbursement or access for any of these specific codes would materially affect overall revenue.

    The mix of top codes indicates a specialized nuclear medicine and hybrid imaging practice with a significant therapeutic component. High revenue from A9607 (Lutetium lu 177 vipivotide tetraxetan) and meaningful receipts from diagnostic agents A9596 (Gallium ga-68 gozetotide) alongside fused PET/CT (78815) point to combined diagnostic PSMA/Ga‑68 imaging and Lu‑177 therapeutic services rather than a broad general radiology offering.

    Competitive standing differs by code: for the dominant therapeutic code A9607 this provider ranks #38 of 44 nationally (14th percentile; typical, unremarkable volume for this code), meaning the provider generates most of its Medicare dollars from a therapy where it is not a top national biller. Although A9607 drives the majority of revenue, the rank and percentile indicate the provider is a modest participant among the small set of national Lu‑177 billers rather than a leading center.

    By contrast, the diagnostic PET/CT code 78815 shows strong relative volume: the provider ranks #514 of 6566 nationally (92th percentile; typical, unremarkable volume for this code), signaling above‑typical national activity in PET/CT imaging. That elevated percentile for 78815 suggests the practice has a robust diagnostic imaging footprint that complements its therapeutic services and may be a source of steady referral volume.

    A9596 (Gallium ga-68 gozetotide) sits at rank #66 of 168 (61th percentile; typical, unremarkable volume for this code), indicating participation in PSMA/targeted diagnostic imaging at a level near or slightly above the median of peers. This supports the interpretation that the practice offers both advanced diagnostic tracers and targeted radionuclide therapy, though it is not uniformly top‑ranked across those specialized modalities.

    Ancillary imaging and conventional CT/ultrasound codes appear throughout the billed list but contribute only small individual shares: examples include 74177 $25.3K (2.3%), 78816 $12.6K (1.2%), and 71260 $10.2K (0.9%). These smaller revenue lines suggest these services supplement the core nuclear medicine activity rather than representing independent high‑revenue service lines.

    The NPI was enumerated 2013-03-31 (~13 years ago), indicating an established billing history; combined with the narrow code concentration (top 3 = 91.3%) this pattern is consistent with a specialized practice or program that has matured around PET/CT and radionuclide therapy offerings rather than a broad multi‑service radiology group. Analysts evaluating competitive risk or reimbursement impact should focus on the provider’s exposure to A9607, 78815, and A9596 reimbursement and access trends.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie3,600$190$687.6K
    78815PET 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.…330$470$152.6K
    A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie160$880$143.6K
    74177The 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.310$80$25.3K
    78816The 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…50$280$12.6K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.200$50$10.2K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…60$160$9K
    74176The 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.90$70$6.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.110$50$5.4K
    71275In 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…80$70$5.2K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96071103,600$190$687K
    A9596210310$850$265.6K
    7881515060$440$30.5K
    A955282050$260$17.5K
    7881621020$460$11.2K
    7417715130120$70$10.6K
    712754612070$60$4.9K
    741762512040$60$3.8K
    712601010070$40$3.7K
    712502010060$40$3.7K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Singleton Associates PATXDiagnostic Radiology Physician$0$16.2M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    April LopezTXFamily Nurse Practitioner$6.7M$0
    Boise Radiology Group PLLCIDDiagnostic Radiology Physician$0$5M
    Rohit AdyanthayaVAOphthalmology Physician$4.1M$0
    Stanislav SpiridonovTXDiagnostic Radiology Physician$4.1M$0
    Ricky AlanizTXOptometrist$77.9K$3.7M
    Jeremiah BrownTXRetina Specialist (Ophthalmology) Physician$3.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Behavioral Health ServicesIDCommunity/Behavioral Health Agency$0$16M
    Perma Mental Health PLLCIDPsychiatry Physician$0$3.1M
    Access Behavioral Health ServicesIDDevelopmentally Disabled Services Day Training Agency$0$2.8M
    Boise Endoscopy Center LLCIDAmbulatory Surgical Clinic/Center$362.9K$1.8M
    Access Behavioral Health Services, IncIDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$1.9M
    Future Public School, Inc.IDLocal Education Agency (LEA)$0$1.8M
    Tomorrow's Hope Statellite ServicesIDDevelopmentally Disabled Services Day Training Agency$0$1.1M
    Pain Center IncIDPain Clinic/Center$0$803.8K
    Pain Care Center Boise, LLCIDAmbulatory Surgical Clinic/Center$741.8K$10.4K
    Idaho Gastroenterology Associates, LLPIDGastroenterology Physician$0$725.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Idaho Distribution
    Carl Odom — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho