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

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

Shelin Agrawal And Hyer PLLC (NPI 1861783961)

Key Findings

Field	Value
Entity Type	Organization
Organization	Shelin Agrawal And Hyer PLLC
Address	657 N Town Center Dr
City	Las Vegas
State	NV
ZIP	89144
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	April 22, 2011

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

SHELIN AGRAWAL AND HYER PLLC is effectively a Medicaid-focused radiology practice: there is no Medicare billing on file while lifetime Medicaid revenue totals $20.4M, indicating the provider operates almost entirely within the Medicaid payer channel. This asymmetry means analyses of utilization, reimbursement, and competitive position should be done primarily against in-state Medicaid benchmarks.

Revenue concentration is high: the top three Medicaid codes (74177, 70450, 71045) together account for 57.8% of the provider's total Medicaid revenue, signaling that a few imaging services—CT abdomen/pelvis with contrast, CT head without contrast, and single-view chest X-ray—are the principal revenue drivers for the practice. Such concentration implies operational focus and capacity geared to high-volume CT and basic radiography.

Service-line profile: the code mix is dominated by advanced cross-sectional imaging and high-volume radiography. Leading codes include 74177 (CT abdomen/pelvis with contrast), 70450 (CT head without contrast), 74176 (CT abdomen/pelvis without contrast) and 71275 (CTA chest), along with multiple ultrasound and MRI codes (e.g., 70551). This pattern suggests the operation runs high-throughput CT and CT angiography services supported by ultrasound and MRI capabilities, consistent with a diagnostic radiology taxonomy.

State-level competitive standing is exceptional for many procedures: the provider ranks #1 in-state for numerous high-revenue codes (74177, 70450, 71045, 74176, 71275 and others) and frequently sits at the 100th percentile, which the data labels as an "extreme outlier" or "notably above typical state volume." These rankings indicate the practice is a dominant provider of several imaging modalities within Nevada Medicaid, far above typical in-state volumes for those codes.

Specific outlier signals: several codes are explicitly characterized as extreme outliers in-state—74177 (26.1% of Medicaid revenue), 70450 (17.5%), and 71045 (14.2%)—and many additional CPTs show 100th-percentile rankings. Those labels point to exceptional scale or market share for CT and basic chest imaging within the Medicaid population, and they warrant attention when considering capacity, referral patterns, or network contracting.

Operational implications for payers and network managers: because a small set of high-volume imaging codes accounts for the majority of Medicaid revenue and the provider is a top-ranked in-state performer for those codes, contract negotiations, prior authorization rules, and capacity planning that target CT and chest radiography use will disproportionately affect this provider. Payers should treat the practice as a key in-state imaging capacity node for Medicaid enrollees.

Tenure and credentialing context: the NPI was enumerated on 2011-04-22 (~15 years ago), indicating an established presence in the market. That tenure combined with the high-volume Medicaid footprint suggests sustained operational scale rather than a recent surge.

Service mix nuance: beyond dominant CT codes, the provider also bills substantial volumes for ultrasound (76705, 76770), vascular duplex (93970, 93971), and several MRI brain codes (70551, 70553), which indicates a broad diagnostic radiology offering rather than a narrowly specialized CT-only operation. This breadth may support multi-modality referrals and make the provider a versatile partner for Medicaid network needs.

Medicaid: Complete Services Breakdown

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

93 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.	74,120	$70	$5.2M
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.	119,920	$30	$3.5M
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…	468,990	$10	$2.8M
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.	36,940	$60	$2.3M
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…	20,240	$70	$1.4M
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…	95,860	$10	$766.9K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	11,740	$50	$634.1K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	15,000	$40	$569.9K
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.	8,370	$50	$384.9K
76705	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…	12,600	$20	$289.9K

Showing 1–10 of 93

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Shelin Agrawal And Hyer PLLC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

93 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	1	140	210	$140	$421K
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…	1	60	330	$150	$250.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	1	50	120	$240	$209.3K
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.	1	100	120	$110	$195.8K
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.	1	160	190	$50	$174.9K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	2	50	540	$70	$152.3K
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…	3	40	110	$140	$147.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	39	50	230	$110	$144.9K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	25	40	80	$110	$136.6K
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…	12	70	140	$80	$131.6K

Showing 1–10 of 93

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Ellis Bandt Birkin Kollins & Wong PLLC	NV	Diagnostic Radiology Physician	$0	$18.1M
Bernard Bartolome	NV	Internal Medicine Physician	$176.1K	$2M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Ryan O'hara	UT	Vascular & Interventional Radiology Physician	$892.2K	$0
Kevin Duwe	AZ	Vascular & Interventional Radiology Physician	$857.5K	$8.5K
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
Kirk Minkus	AZ	Vascular & Interventional Radiology Physician	$736K	$0
Joel Schein	AZ	Diagnostic Radiology Physician	$262K	$463.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pokroy Medical Group Of Nevada, Ltd.	NV	Neonatal-Perinatal Medicine Physician	$0	$33.7M
Summerlin Hospital Medical Center L L C	NV	General Acute Care Hospital	$0	$30.3M
Reliant Physicians (kumar) PLLC	NV	Hospitalist Physician	$0	$16.8M
Desert Valley Pediatrics, LLP	NV	Pediatrics Physician	$0	$9.7M
Sunshine Valley Health Care-wesley J. Robertson M.d. Prof. Corp.	NV	Pediatrics Physician	$0	$6.3M
Orthopedic Motion, Inc	NV	Specialist	$0	$3.2M
Amir Z Qureshi Md Ltd	NV	Internal Medicine Physician	$0	$2.4M
Greater Las Vegas Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.2M
Retina Consultants Of Nevada LLP	NV	Ophthalmology Physician	$0	$2M
Brian Vicuna	NV	Medical Oncology Physician	$1.8M	$35.9K

Shelin Agrawal And Hyer PLLC — Billing Profile & Reimbursement Data

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Shelin Agrawal And Hyer PLLC — Billing Profile & Reimbursement Data

Sign up for Shelin Agrawal And Hyer PLLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References