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    OpenPayerNPI Medicare & MedicaidAnush Parikh
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    Anush Parikh — Billing Profile & Reimbursement Data

    NPI 1780829341 · Dover, DE · Diagnostic Radiology Physician

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    Anush Parikh is a diagnostic radiology physician provider located in Dover, Delaware. This profile covers 59 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
    OrganizationAnush Parikh
    Address710 S Queen St
    CityDover
    StateDE
    ZIP19904
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedDecember 11, 2008

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

    Payer SourceTotal Paid
    Medicare$651.5K
    Medicaid$0

    Key Findings

    This provider bills almost exclusively to Medicare, reporting Total Medicare revenue of $651.5K and no Medicaid billing on file; in practical terms the payer mix is effectively single‑payer Medicare for the claims captured here. The absence of Medicaid activity means state Medicaid comparisons are not available and any analysis of public program exposure should treat this entity as Medicare‑focused.

    Revenue concentration is materially driven by a small set of imaging services: the precomputed top 3 Medicare codes account for 38.4% of this provider’s total Medicare revenue, led by 72148 ($102.7K, 17.4%), 73721 ($73.9K, 12.5%), and 74177 ($50K, 8.5%). This concentration indicates a dependence on spine and extremity MRI plus abdominal/pelvic CT for a large fraction of billings.

    The CPT/HCPCS mix is diagnostic radiology‑centric and broad: high volumes appear for MRI codes (72148, 73721, 73221, 72141), CT abdomen/pelvis codes (74177, 74178, 74176), ultrasonography (76770, 76700), and breast imaging (77080, 77065/77067/77066), which together suggest an outpatient imaging operation or radiology practice offering multi‑modality services rather than a single‑procedure clinic. Claim counts support this operational profile (for example 689 claims for 72148, 471 claims for 73721, and 922 claims for 76770).

    Several specific codes show national outlier status and establish competitive standing: 72148 ranks #111 of 14990 (99th percentile; extreme outlier) and 73721 ranks #90 of 9329 (99th percentile; extreme outlier), while 76770 ranks #25 of 18942 (100th percentile; extreme outlier). In contrast, many CT and additional MRI codes fall in high but less extreme percentiles (e.g., 74177 at the 76th percentile and 72141 at the 97th percentile), indicating that the provider is a major national volume player for certain MRI and ultrasound services but more typical for several CT services.

    Operational and margin implications appear mixed: the provider reports very high claim counts for lower‑paid services such as 76770 (922 claims at $31 avg paid/claim) alongside substantial revenue from higher‑paid CT/MRI services such as 74177 ($245 avg paid/claim) and 72148 ($149 avg paid/claim). This pattern suggests a high‑throughput model that relies on volume of both low‑unit and higher‑unit imaging procedures to generate the reported Medicare revenue.

    Tenure and continuity: the NPI was enumerated on 2008-12-11 (~18 years ago), indicating long‑standing participation in Medicare billing. That tenure, combined with repeated high national ranks on multiple imaging codes, reinforces that these billing patterns are persistent rather than transient.

    Given the clustering of extreme outlier ranks across multiple imaging codes, this provider’s activity profile warrants targeted peer benchmarking and operational validation when used for contracting or network decisions. The pattern is not an allegation of wrongdoing but is a clear signal that the provider is atypical versus national peers for several high‑volume imaging services and should be evaluated on modality capacity, scheduling throughput, and documentation workflows during review.

    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.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.690$150$102.7K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.470$160$73.9K
    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.200$250$50K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…300$160$47.8K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.360$100$36.4K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…120$280$33K
    76770A 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…920$30$28.6K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.190$140$26.7K
    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.190$140$25.9K
    73718In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material.110$170$18.3K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    770673140530$70$55.8K
    770633030560$40$28.7K
    741772860180$80$19.8K
    93880688070$110$16.6K
    7214826080$100$13.9K
    770801130150$20$13.7K
    206105712060$50$12.4K
    7372113050$120$11.3K
    741761360110$70$10.2K
    712501160150$50$10.1K

    Showing 1–10 of 59

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dedicated To Women Ob-gyn, P.A.DEObstetrics & Gynecology Physician$0$11.1M
    First State Orthopaedics, PADEOrthopaedic Surgery Physician$0$6M
    Delaware Radiology Associates PADEDiagnostic Radiology Physician$0$4.4M
    Karolyn KerrNYDiagnostic Radiology Physician$1.8M$676.7K
    First State Orthopaedics PADEOrthopaedic Surgery Physician$0$1.5M
    Jason ChalifouxNYStudent in an Organized Health Care Education/Training Program$1.1M$83.2K
    Anthony ScolaDEDiagnostic Radiology Physician$975.4K$0
    Callaway Franceschini LLCDEPhysical Therapist$0$881.4K
    Neil GambillDEDiagnostic Radiology Physician$735.4K$0
    Arpita SwamiWADiagnostic Radiology Physician$671.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$37.9M
    At Home Infucare, LLCDEHome Health Agency$0$28.5M
    Amazing Home Care AgencyDEHome Health Agency$0$18.7M
    Help At Home Of Delaware, LLCDEIn Home Supportive Care Agency$0$10.7M
    A Center For Mental Wellness, Inc.DEMental Health Counselor$0$9.9M
    State Of DelawareDECase Management Agency$0$9.2M
    West Dover Dental, LLCDEDentist$0$9M
    Americare Home SolutionsDEIn Home Supportive Care Agency$0$8.4M
    Vicdania Health Services LLCDEHome Health Agency$0$7.4M
    Reliable Aid, IncDEPersonal Care Attendant$0$6.4M

    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. Delaware Distribution
    Anush Parikh — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware