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NPI 1770949737 · Cincinnati, OH · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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Btx Koi Inc is a portable x-ray and/or other portable diagnostic imaging supplier provider located in Cincinnati, Ohio. This profile covers 58 Medicare and 36 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 | Organization |
| Organization | Btx Koi Inc |
| Address | 6802 Menz Ln |
| City | Cincinnati |
| State | OH |
| ZIP | 45233 |
| Taxonomy | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| NPI Enumerated | January 6, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.7M |
| Medicare | $2.2M |
BTX KOI INC’s billing mix is consistent with a mobile/portable imaging operation: the top Medicare and Medicaid revenue drivers are transportation and set‑up codes (R0070, R0075, Q0092) that reimburse trips and equipment set‑up for portable X‑ray services. The presence of high-volume diagnostic radiography codes (for example 71046 and many extremity X‑ray codes) alongside those transportation codes indicates the company both transports portable equipment to sites and delivers a large volume of on‑site imaging rather than only arranging transport. This combination is characteristic of a supplier providing outreach imaging into homes and nursing facilities.
Revenue concentration is high for both payers: the top three Medicare codes account for 80.5% of the provider’s Medicare revenue and the top three Medicaid codes account for 86.4% of the provider’s Medicaid revenue. That concentration is primarily driven by transportation/setup activity (R0070, R0075, Q0092) which together represent the majority of collections on both payers, creating sensitivity to policy changes or edits targeting those codes. Analysts should flag this as a payer‑line concentration risk for contract negotiations and utilization management.
Payer mix leans materially toward Medicaid: lifetime Medicaid revenue is $3.7M versus Medicare revenue of $2.2M, so Medicaid is the larger source of billed revenue for this entity. The provider is not exclusive to one payer, but its scale is meaningfully Medicaid‑weighted, which matters for network negotiating leverage, state prior authorization programs, and Medicaid fee schedule pressure.
Competitive standing differs by payer and code set: on Medicaid in‑state metrics BTX KOI INC ranks as the clear market leader for its core portable imaging codes — R0070 is #1 of 16 providers in‑state (100th percentile; notably above typical state volume), R0075 is #1 of 9 (100th percentile; notably above typical state volume), and Q0092 is #1 of 14 (100th percentile; notably above typical state volume). By contrast, for Medicare the transportation and setup codes have high national ranks (R0070 #12 of 285, R0075 #13 of 201, Q0092 #12 of 285, each in the mid‑90s percentile) but are labeled "typical, unremarkable volume" for national peers, indicating strong but not uniquely dominant national positioning for those trip/setup codes.
There are multiple statistical outliers in the diagnostic imaging portfolio on Medicare: several radiography CPT codes (for example 71046, 71045, 73502, 74018 and many extremity and spine X‑ray codes) are called out as "extreme outlier" or at least "notably above typical" national volume (many at the 100th percentile). This pattern suggests unusually large imaging throughput relative to national peers for on‑site X‑ray studies, which could reflect either an operational focus on high‑volume facility contracts or concentration in settings with elevated imaging demand (e.g., SNFs).
For Medicaid the same imaging footprint is reflected in large claims counts and top in‑state ranks for core codes: R0070 shows 66.1K claims and $2.2M revenue (61.3% of Medicaid revenue) and R0075 shows 33.7K claims and $741K revenue (20.2% of Medicaid revenue), confirming both high utilization and dominance for portable imaging trips in‑state. Those volumes, paired with Q0092 at 90.1K claims, indicate the provider is the primary in‑state supplier for portable X‑ray logistics and set‑up, which has implications for state Medicaid program oversight and contracting.
BTX KOI INC has been NPI‑enumerated since 2016‑01‑06 (~10 years ago), indicating roughly a decade of recorded activity under the current NPI. That tenure supports the interpretation that the high volumes and payer patterns are established operational behaviors rather than a transient spike. Analysts reviewing credentialing, network participation, or utilization trends should treat these patterns as persistent rather than newly emergent.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
58 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 8,320 | $140 | $1.2M |
| R0075 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen | 5,170 | $60 | $310.2K |
| Q0092 | Set-up portable x-ray equipment | 15,830 | $20 | $269.2K |
| 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… | 13,700 | $10 | $150.7K |
| 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… | 7,080 | $10 | $63.7K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 2,390 | $10 | $33.5K |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 2,950 | $10 | $29.5K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 1,660 | $10 | $18.2K |
| 73560 | In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 1,660 | $10 | $18.2K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 1,290 | $10 | $16.7K |
Showing 1–10 of 58
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 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.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 66,120 | $30 | $2.2M |
| R0075 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen | 33,680 | $20 | $741K |
| Q0092 | Set-up portable x-ray equipment | 90,050 | $1 | $180.1K |
| 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… | 66,710 | $1 | $133.4K |
| 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… | 52,530 | $1 | $105.1K |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 19,400 | $1 | $58.2K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 11,340 | $1 | $34K |
| 73560 | In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 10,000 | $1 | $30K |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 6,200 | $1 | $18.6K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 6,190 | $1 | $18.6K |
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How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
36 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 1 | 20 | 2,420 | $40 | $600.9K |
| R0075 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen | 1 | 10 | 2,820 | $30 | $280.3K |
| 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… | 11 | 420 | 920 | $10 | $75.4K |
| 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… | 22 | 380 | 1,970 | $1 | $72K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 134 | 450 | 720 | $10 | $67K |
| Q0092 | Set-up portable x-ray equipment | 1 | 10 | 4,580 | $1 | $60.4K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 137 | 200 | 7,670 | $1 | $51.7K |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 13 | 230 | 530 | $10 | $35.3K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 98 | 400 | 590 | $10 | $23.1K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 10 | 250 | 480 | $10 | $20.5K |
Showing 1–10 of 36
Other providers in the same ZIP code as Btx Koi Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Delhi Township Trustees | OH | Ambulance | $285.7K | $517.5K |
| Btx Koi Inc | OH | Physiological Laboratory | $150.8K | $213.9K |
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