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NPI 1790147916 · Washington, DC · Diagnostic Radiology Physician
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Mark Hanna is a diagnostic radiology physician provider located in Washington, District of Columbia. This profile covers 12 Medicare and 1 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 | Individual |
| Organization | Mark Hanna |
| Address | 2300 M St Nw Fl 8 |
| City | Washington |
| State | DC |
| ZIP | 20037 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | March 26, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $502K |
| Medicaid | $360 |
This provider’s Medicare business ($502K) overwhelmingly dominates its Medicaid activity ($361), with Medicare accounting for virtually all billing and Medicaid representing a negligible share of lifetime revenue. The precomputed metric shows the top 3 Medicare codes by revenue account for 75.4% of this provider's total Medicare revenue, while Medicaid top codes account for 100.0% of Medicaid revenue, indicating a heavily Medicare‑concentrated payer mix.
The code mix and volumes identify a focused breast imaging practice: the largest revenue drivers are 77067 and 77063 (screening mammography and digital breast tomosynthesis), supported by breast MRI (77049) and multiple image‑guided biopsy codes (19083, 19081). These codes and descriptions indicate the provider performs both high-volume screening/tomosynthesis services and diagnostic/biopsy procedures rather than a broad general radiology panel.
Revenue concentration is acute within Medicare: 77067 alone generates $250.5K (50.1% of Medicare revenue) and 77063 contributes $99.7K (19.9%), together forming the majority of Medicare dollars. The precomputed grouping (top 3 Medicare codes account for 75.4%) underscores that a small set of breast‑imaging services drives the bulk of lifetime Medicare receipts.
On national competitive standing the provider ranks well above peers for key mammography services: 77067 is #284 of 15198 providers nationally (98th percentile; notably above typical national volume) and 77063 is #254 of 14277 (98th percentile; notably above typical national volume). Even 77049 (breast MRI) is at #155 of 3140 (95th percentile; notably above typical national volume), which together position this NPI as a major national participant for breast imaging relative to peers.
Several diagnostic and biopsy codes show elevated relative volume beyond screening: 77065 is called out as an "extreme outlier, far above typical national volume" (99th percentile) for diagnostic mammography in suspected cancer, and percutaneous biopsy codes 19083 and 19081 are labeled "notably above typical national volume." This pattern suggests the practice is not only providing screening but also receiving significant downstream diagnostic and interventional breast referrals.
Medicaid activity is effectively single‑code and minimal: all Medicaid revenue ($361) is from 71046 (13 claims, $28 avg paid/claim) and is reported as 100.0% of the provider's Medicaid revenue. The in‑state rank for 71046 is #34 of 36 providers (3th percentile; typical, unremarkable volume), so the provider is a minor Medicaid participant and shows no diversified Medicaid service line presence.
The NPI tenure (enumerated 2016-03-26, ~10 years ago) indicates roughly a decade of billing history under this identifier, providing enough time for the observed high mammography volumes and concentrated Medicare revenue mix to be established and consistent. This longevity supports interpreting the high national ranks as sustained operational patterns rather than a transient spike.
High dependence on a narrow set of breast‑imaging CPTs (top Medicare codes driving 75.4% of Medicare revenue) creates concentrated operational exposure: changes in mammography/tomosynthesis reimbursement, referral patterns, or equipment/technology requirements could materially impact revenue. Paired with minimal Medicaid exposure, this provider appears commercially specialized and potentially sensitive to payer or clinical pathway shifts affecting breast imaging demand.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,940 | $130 | $250.5K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 1,950 | $50 | $99.7K |
| 77049 | The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform… | 90 | $290 | $27K |
| 77065 | The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential… | 290 | $90 | $25.7K |
| 19083 | Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time. | 50 | $460 | $23.7K |
| 77066 | The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities… | 190 | $110 | $20.6K |
| 19081 | Under stereotactic guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time. | 40 | $450 | $19.1K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 240 | $60 | $15.1K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 370 | $40 | $13.9K |
| 19084 | Under ultrasound guidance, the provider takes breast tissue percutaneously for biopsy from each additional lesion after the first, separately reportable lesion. He may place a localization device at… | 10 | $370 | $4.4K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10 | $30 | $360 |
How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. District of Columbia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 34 | 40 | 390 | $10 | $104K |
Other providers in the same ZIP code as Mark Hanna, ranked by combined Medicare and Medicaid revenue.
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