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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Leo Flynn (NPI 1831149954)

Field	Value
Entity Type	Individual
Organization	Leo Flynn
Address	2929 5th St Ste 100
City	Rapid City
State	SD
ZIP	57701
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicare	$457K
Medicaid	$0

Key Findings

Provider profile and scale: LEO FLYNN is a Diagnostic Radiology Physician based in RAPID CITY, SD, with an NPI enumerated on 2006-05-11 (~20 years ago). Lifetime Medicare revenue on file totals $457K and there is no Medicaid billing on file, indicating a modest Medicare-driven practice at the time period captured here.

Revenue concentration: this provider’s Medicare earnings are highly concentrated in a small set of imaging services — the precomputed top 3 Medicare codes by revenue account for 68.5% of total Medicare revenue. Those top three codes are 78815 ($192K revenue, 44.7% of total Medicare revenue), A9595 ($61.6K revenue, 14.3% of total Medicare revenue), and A9552 ($40.7K revenue, 9.5% of total Medicare revenue).

Service-line implications: the dominant codes (78815, A9595, A9552) indicate a practice centered on PET/CT and PET radiopharmaceutical imaging, consistent with oncology and metabolic imaging services rather than general diagnostic radiography alone. The remainder of the top-25 mix includes CT and MRI codes (for example 74177, 74183, 70551) and vascular/ultrasound studies, suggesting the provider offers a broad cross-sectional and vascular imaging portfolio alongside nuclear medicine.

Payer mix implications: with $457K in reported Medicare revenue and "none below" for Medicaid, this provider is effectively single-payer (Medicare) in the dataset; there is no Medicaid billing on file, which will limit insight into lower-income or dual-eligible populations and Medicaid-specific contracting exposure. Analysts should treat Medicaid-related competitive or access conclusions as unsupported by the claims record here.

Competitive standing on the largest code: 78815 (PET/CT) generates the largest share of revenue and the provider ranks #1341 of 6566 nationally (79th percentile) for that code, which the source characterizes as "typical, unremarkable volume for this code." That combination suggests above-median national activity in PET/CT but not a dominant or outlier position among PET/CT providers.

Mixed national standing across radiopharmaceuticals: A9595 (piflufolastat f-18) accounts for a significant revenue slice but ranks #399 of 528 nationally (22th percentile) and is described as "typical, unremarkable volume for this code," indicating relatively low positioning among the limited set of providers billing that agent. By contrast, A9552 (FDG) ranks #463 of 2411 (81th percentile) and is also labeled "typical, unremarkable volume," showing stronger relative placement for FDG PET compared with the newer radiopharmaceutical.

Breadth of cross-sectional imaging: besides PET, the provider bills a range of CT and MRI services with several codes at high national percentiles — for example 74177 ranks in the 91th percentile, 71260 in the 89th percentile, and 71275 in the 86th percentile — which collectively imply substantial CT/MR throughput in abdominal and chest imaging. Many of these entries are still described by the source as "typical, unremarkable volume for this code," so the practice appears busy across modalities but not anomalously so for most individual procedures.

Volume/revenue mix notes: the provider reports very high claim counts for low-revenue radiography (e.g., 71045 with 772 claims at $7 avg paid/claim, $5.4K revenue) alongside lower-frequency, high-revenue PET studies (e.g., 78815 with 153 claims at $1255 avg paid/claim). This pattern — high-volume, low-payment screening/diagnostic radiographs combined with lower-volume, higher-reimbursement advanced imaging — is consistent with a diagnostic imaging operation that supports both routine studies and specialized oncology imaging services.

Medicare: Complete Services Breakdown

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.…	150	$1,260	$192K
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	130	$490	$61.6K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	150	$280	$40.7K
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.	330	$80	$25.7K
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.	110	$120	$13K
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.	120	$90	$9.9K
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…	140	$70	$9.2K
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	$140	$9K
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.	260	$30	$8.4K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	170	$50	$8.3K

Showing 1–10 of 67

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 67 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Leo Flynn — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

67 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9595	2	10	130	$490	$64.1K
78815	5	20	60	$420	$40.9K
A9552	1	10	70	$280	$22.5K
77067	114	120	70	$50	$13.1K
74177	10	80	90	$70	$10K
70553	17	40	40	$90	$7.6K
77063	110	110	70	$30	$7.5K
70450	16	70	150	$30	$5.2K
71275	7	60	70	$60	$5.1K
74183	2	10	50	$90	$4.6K

Showing 1–10 of 67

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Radiology Associates Prof, LLC	SD	Diagnostic Radiology Physician	$0	$5.3M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Elie Fahed	WY	Medical Oncology Physician	$1.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavior Management Systems, Inc.	SD	Community/Behavioral Health Agency	$0	$19.8M
Monument Health Rapid City Hospital, Inc	SD	Multi-Specialty Clinic/Center	$0	$18.7M
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$11.5M
Community Health Center Of The Black Hills Inc	SD	Federally Qualified Health Center (FQHC)	$0	$10.2M
Jrk Services, Inc	SD	Home Health Agency	$0	$10.1M
Black Hills Pediatrics, LLP	SD	Pediatrics Physician	$0	$9.7M
Rapid City Emergency Services PA	SD	Emergency Medicine Physician	$0	$8.2M
Wellspring Inc.	SD	Psychiatry Physician	$0	$7.4M
Monument Health Rapid City Hospital, Inc.	SD	Multi-Specialty Clinic/Center	$0	$5.2M
City Of Rapid City	SD	Ambulance	$1.4M	$3.7M

Leo Flynn — 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