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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Toledo Radiological Associates, Inc. (NPI 1801875208)

Toledo Radiological Associates, Inc. is a diagnostic radiology physician provider located in Toledo, Ohio. This profile covers 0 Medicare and 101 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Toledo Radiological Associates, Inc.
Address	2142 N Cove Blvd
City	Toledo
State	OH
ZIP	43606
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	January 13, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	40,630	$50	$2.1M
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.	49,550	$30	$1.4M
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…	166,800	$10	$834K
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…	5,770	$110	$611.3K
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…	64,530	$10	$516.2K
74176	The 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.	11,790	$40	$495.3K
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…	17,500	$20	$402.5K
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…	16,670	$20	$366.7K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	5,340	$60	$325.7K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	6,670	$40	$233.5K

Showing 1–10 of 101

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

Claims Volume vs. Ohio Distribution

Toledo Radiological Associates, Inc. — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

101 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	7	290	1,380	$90	$635.2K
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.	8	280	1,110	$110	$605.7K
74176	The 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.	7	230	980	$110	$319.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	135	190	430	$70	$258.6K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	9	170	530	$120	$252.6K
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…	10	140	350	$150	$215.8K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	84	90	280	$60	$192.1K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	65	70	230	$280	$178.1K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	28	160	500	$100	$164.7K
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.	20	130	290	$90	$124.2K

Showing 1–10 of 101

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Toledo Hospital	OH	General Acute Care Hospital	$0	$151.2M
Harbor	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$77.4M
Emergency Physicians Of Northwest Ohio Inc.	OH	Emergency Medicine Physician	$0	$32.6M
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$22.2M
Pharmacy Counter, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$19.7M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$13.4M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$11.1M
Harbor	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M
A Better Life 2 Embrace LLC (a.b.l.e.) LLC	OH	Community/Behavioral Health Agency	$0	$9.9M
Prime Hha, LLC	OH	Home Health Agency	$0	$9.1M

Toledo Radiological Associates, Inc. — Billing Profile & Reimbursement Data

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Toledo Radiological Associates, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Rubina Shah	OH	Diagnostic Radiology Physician	$471.5K	$0
Charles Genson	OH	Diagnostic Radiology Physician	$468.2K	$0
Michael Walsh	OH	Diagnostic Radiology Physician	$225.6K	$0
Felix Boucher	OH	Diagnostic Radiology Physician	$218.4K	$0
Murray Howe	OH	Diagnostic Radiology Physician	$175.5K	$7K
Nathan Egbert	OH	Diagnostic Radiology Physician	$176.1K	$0
Vincent Keiser	OH	Diagnostic Radiology Physician	$155.9K	$15K
Mark Buehler	OH	Diagnostic Radiology Physician	$164.7K	$0
David Cervantes	OH	Vascular & Interventional Radiology Physician	$155.2K	$0