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NPI 1790731818 · Richmond Hill, NY · Diagnostic Radiology Physician
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Merita Bania is a diagnostic radiology physician provider located in Richmond Hill, New York. This profile covers 18 Medicare and 8 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 | Merita Bania |
| Address | 11614 Myrtle Ave |
| City | Richmond Hill |
| State | NY |
| ZIP | 11418 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | May 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $246.8K |
| Medicare | $51.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 660 | $30 | $19.9K |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 160 | $40 | $5.9K |
| 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… | 60 | $90 | $5K |
| 70498 | The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in… | 50 | $70 | $3.5K |
| 70496 | The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in… | 50 | $70 | $3.5K |
| 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. | 50 | $60 | $2.6K |
| 72131 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material. | 60 | $40 | $2.1K |
| 72132 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine using contrast material. | 30 | $40 | $1.2K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 20 | $50 | $1.2K |
| 72129 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thoracic spine using contrast material. | 30 | $40 | $1.1K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 70553 | 321 | 590 | 70 | $160 | $17.5K |
| 72148 | 642 | 810 | 50 | $120 | $13.1K |
| 70551 | 428 | 710 | 60 | $100 | $11.5K |
| 70450 | 97 | 1,080 | 170 | $40 | $9.1K |
| 72141 | 532 | 630 | 30 | $110 | $6.8K |
| 70496 | 218 | 560 | 40 | $70 | $4.7K |
| 70498 | 223 | 570 | 40 | $70 | $4.5K |
| 72125 | 113 | 860 | 60 | $40 | $3.6K |
| 70491 | 161 | 290 | 20 | $70 | $3.2K |
| 72131 | 124 | 630 | 30 | $50 | $2.2K |
Showing 1–10 of 18
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.
8 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… | 790 | $150 | $117.6K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 610 | $170 | $101K |
| 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… | 330 | $60 | $19.5K |
| 76700 | 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… | 30 | $130 | $3.8K |
| 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. | 110 | $20 | $1.6K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 20 | $100 | $1.5K |
| 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… | 40 | $30 | $1.2K |
| G9638 | Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative… | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 255 | 490 | 840 | $90 | $323.6K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 167 | 410 | 290 | $80 | $185.3K |
| 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. | 653 | 970 | 330 | $100 | $181.4K |
| 76700 | 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… | 527 | 670 | 250 | $110 | $150.7K |
| 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… | 265 | 400 | 660 | $40 | $116.4K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 429 | 480 | 190 | $70 | $65.2K |
| 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… | 1,231 | 1,510 | 230 | $10 | $28.7K |
| G9638 | Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative… | 36 | 50 | 40 | $0 | $0 |
Other providers in the same ZIP code as Merita Bania, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Samaritan Daytop Village, Inc. | NY | Substance Abuse Rehabilitation Facility | $0 | $191.8M |
| Jamaica Hospital | NY | General Acute Care Hospital | $0 | $178.3M |
| Jamaica Hospital | NY | Emergency Medical Services (Emergency Medicine) Physician | $0 | $37.9M |
| Vip Health Care Services Inc. | NY | Home Health Agency | $0 | $31.9M |
| Tjh Medical Services, P.C. | NY | Internal Medicine Physician | $0 | $30M |
| Jamaica Hospital | NY | General Acute Care Hospital | $0 | $27.8M |
| Outreach Development Corporation | NY | Addiction (Substance Use Disorder) Counselor | $0 | $21.1M |
| Tracy Marmer | NY | Physician Assistant | $579.6K | $0 |
| David Schechter | NY | Cardiovascular Disease Physician | $258.7K | $117.6K |
| Mark Herskovits | NY | Diagnostic Radiology Physician | $93.3K | $38.9K |
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