Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. District of Columbia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alula Tesfay (NPI 1801246665)

Field	Value
Entity Type	Individual
Organization	Alula Tesfay
Address	900 23rd St Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 13, 2016

Payer Source	Total Paid
Medicare	$442.8K
Medicaid	$0

Key Findings

Service-line profile: The provider's claims mix is dominated by MRI services across multiple anatomic regions (notably codes 73721, 72148, 74183 and 73221), with supplemental CT, DXA, and ultrasound activity. This pattern is consistent with a diagnostic radiology practice or imaging center that specializes in cross-sectional and advanced MRI protocols rather than primarily providing general radiography or procedural interventions.

Revenue concentration: Total Medicare revenue is $442.8K and the precomputed top 3 Medicare codes by revenue account for 35.1% of that total; the three leading codes are 73721 ($56.7K, 14.2%), 72148 ($42.8K, 10.7%), and 74183 ($40.1K, 10.1%). This indicates a high dependence on a small set of MRI exams for a large share of Medicare billing, which suggests focused service-line exposure.

Payer mix: The provider reports $442.8K in lifetime Medicare revenue and has no Medicaid billing on file, so the practice is effectively single-payer in the available data and lacks Medicaid revenue diversification. For payers and network planners, this concentration means Medicare performance will drive most of the visible utilization profile and contracting leverage in-state cannot be assessed from Medicaid activity.

Competitive standing on MRI volume: Several MRI codes show above-typical national volume: 73721 ranks #189 of 9329 nationally (98th percentile; notably above typical national volume), 73221 ranks #232 of 7875 (97th percentile; notably above typical national volume), and 72148 ranks #668 of 14990 (96th percentile; notably above typical national volume). These rank-percentile combinations indicate the provider is a high-volume national outlier on specific MRI exams even though overall lifetime Medicare revenue is $442.8K.

Statistical outliers and notable volumes: The provider is an "extreme outlier" on brain MRI without contrast 70551 (355 claims, $33.4K revenue; ranks #248 of 13508, 98th percentile), and has multiple other MRI codes flagged as notably above typical national volume or high percentile ranks. Those designations suggest unusually concentrated expertise or referral patterns for particular MRI studies compared with national peers.

Modality and technical capability: The CPT mix includes both non-contrast and contrast MRI protocols for spine and pelvis (e.g., 72148, 72158, 72197), CT abdomen/pelvis with and without contrast (74177, 74178, 74176), and advanced post-processing (76377). Presence of 76377 (3D image rendering), contrast sequences, and a spread of anatomic MRI codes implies capability for complex imaging studies and post-processing services beyond basic diagnostics.

Operational implications for network and referral strategy: With no Medicaid billing on file and a Medicare series concentrated in MRI, the provider may be most relevant to Medicare-focused networks and specialty referral pathways for advanced MRI exams. Ancillary services exist but are small contributors to revenue (e.g., 77080 $4K, 1.0%; 76536 $3.6K, 0.9%), so partnerships or contracting that target core high-volume MRI exams will likely capture the majority of billable activity.

Medicare: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	360	$160	$56.7K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	310	$140	$42.8K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	150	$270	$40K
73221	In 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…	240	$160	$38.6K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	140	$270	$37.4K
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.	360	$90	$33.4K
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…	130	$200	$26.5K
74177	The 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.	70	$240	$18K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	120	$130	$15.5K
73718	In 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.	60	$180	$11.2K

Showing 1–10 of 52

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 52 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Alula Tesfay — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

52 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70553	14	30	120	$150	$21.4K
74177	47	70	160	$100	$18.8K
72148	7	40	80	$110	$16.2K
70551	6	40	110	$100	$15.9K
73721	1	10	40	$130	$15K
74183	4	20	70	$170	$13.5K
72141	9	30	60	$100	$10.3K
73221	1	10	20	$130	$10K
72197	3	20	40	$170	$9.8K
74176	54	70	80	$80	$8.8K

Showing 1–10 of 52

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Faculty Associates, Inc	DC	Anesthesiology Physician	$0	$75.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Advanced Radiology P A	MD	Diagnostic Radiology Physician	$0	$41.4M
Jeffrey Steinberg	DC	Foot & Ankle Surgery Podiatrist	$13.3M	$0
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Ethan Spiegler	MD	Nuclear Radiology Physician	$2.9M	$0
Frederic Yeganeh	MD	Diagnostic Radiology Physician	$2.8M	$0
Faysal Haroun	DC	Hematology & Oncology Physician	$2.4M	$0
Danilo Espinola	MD	Nuclear Radiology Physician	$1.8M	$0
Kevin Berger	MD	Diagnostic Radiology Physician	$1.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Hospital Partners L P	DC	General Acute Care Hospital	$0	$136.3M
Baymark Health Services Of West Virginia, Inc.	DC	Substance Use Disorder Rehabilitation Clinic/Center	$571.6K	$6.4M
Medical Home Development Group	DC	Family Medicine Physician	$0	$6.7M
The Foundation For Contemporary Mental Health	DC	Public Health or Welfare Agency	$0	$5.4M
Dva Renal Healthcare Inc	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Miriam's Kitchen	DC	Case Management Agency	$0	$3.1M
Rishi Sood	DC	Vascular & Interventional Radiology Physician	$2.2M	$0
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0
Mustafa Ali	DC	Internal Medicine Physician	$135.4K	$909.4K
Jonathan Johnson	DC	Surgery Physician	$825K	$16.5K

Alula Tesfay — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References