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

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

Arthur Kane (NPI 1871583864)

Field	Value
Entity Type	Individual
Organization	Arthur Kane
Address	489 State St
City	Bangor
State	ME
ZIP	04401
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	October 21, 2005

Payer Source	Total Paid
Medicare	$459.4K
Medicaid	$0

Key Findings

ARTHUR KANE is a Diagnostic Radiology Physician based in BANGOR, ME with an NPI enumerated on 2005-10-21 (~21 years ago). His lifetime Medicare revenue on file is $459.4K and there is no Medicaid billing on file, so his clinical billing footprint is effectively single-payer Medicare at present.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 49.1% of the provider's total Medicare revenue. Those top codes are 70553 ($107.7K, 24.7%), 70551 ($77.9K, 17.9%), and A9584 ($28.2K, 6.5%), indicating a small number of procedures drive roughly half of Medicare receipts.

The procedure mix points to a strong neuroimaging focus with volume-weighted emphasis on brain MRI services and related head/neck CT and MRA studies. High-revenue MRI brain codes (70553 and 70551) plus notable volume in MR angiography (70544, 70547) and CT head/neck codes (70486, 70491, 70496) suggest the practice operates as a diagnostic imaging center that handles a steady stream of neurologic and head/neck referrals; nuclear imaging is also present (A9584, 78815, 78803) indicating capacity for specialized neurologic tracer studies.

For several top MRI/CT codes this provider is a national outlier: 70553 ranks #11 of 11271 (100th percentile; extreme outlier), 70551 ranks #10 of 13508 (100th percentile; extreme outlier), and 70486 ranks #7 of 13305 (100th percentile; extreme outlier). These rank placements show the provider’s volume for key neuroimaging procedures is far above typical national volumes and indicates a dominant presence in these specific service lines.

At the same time, other billed services display more typical volumes: 70450 is at the 81th percentile (rank #4051 of 21092), 74177 is at the 43th percentile (rank #13328 of 23621), and 78815 is at the 15th percentile (rank #5518 of 6566). This mixed picture—extreme national outlier status on core neuroimaging codes paired with ordinary volumes on many other CT/PET/SPECT codes—shows concentrated strengths rather than uniformly high volume across all imaging modalities.

Operationally, high claim counts for the leading MRI codes (70553: 775 claims; 70551: 906 claims) alongside the provider’s long tenure imply sustained throughput in brain MRI services rather than a short-term spike. That combination of elevated claim volume and years on file supports the conclusion that these are recurring, stable service lines rather than one-off events.

The absence of any Medicaid billing (none below) combined with $459.4K in Medicare revenue means payers and analysts should treat this provider as effectively single-payer Medicare for network and utilization considerations. For payers evaluating contracting or coverage strategies, the financial exposure and referral patterns will be driven almost entirely by Medicare imaging utilization rather than Medicaid.

From a payer or competitor perspective, the profile signals both opportunity and concentration risk: the provider is a major national-volume performer for specific neuroimaging CPTs (creating leverage in those niches) while overall Medicare revenue is modest ($459.4K), so strategic moves that affect high-volume MRI services could disproportionately impact the provider’s revenue base.

Medicare: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	780	$140	$107.7K
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.	910	$90	$77.9K
A9584	Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries	10	$2,010	$28.2K
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	430	$60	$25.1K
70543	The provider obtains multi–sequence and multi–planar images of the orbits, face, and/or neck initially without the use of contrast and then injects contrast to see additional images and diagnose…	150	$150	$23.7K
70544	The provider performs magnetic resonance angiography of the vessels of the head and surrounding areas. The provider does not use contrast.	240	$100	$23K
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.	370	$50	$16.8K
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.…	20	$770	$15.4K
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.	90	$150	$13.4K
70491	The provider uses computed tomography to examine the neck’s soft tissue structures. The provider administers contrast for this exam.	140	$90	$11.6K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Arthur Kane — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9552	7	10	70	$400	$43.1K
A9584	1	10	10	$2,010	$28.2K
78815	31	40	50	$380	$27.1K
70543	1	10	80	$160	$13.8K
74177	69	120	110	$70	$8.4K
70553	1	50	30	$110	$8K
72148	10	70	40	$70	$6.1K
70540	1	10	50	$110	$6K
70450	11	90	140	$30	$5.1K
70551	1	70	40	$70	$5.1K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Radiology P A	MD	Diagnostic Radiology Physician	$0	$41.4M
Capital Women's Care, L.L.C.	MD	Obstetrics & Gynecology Physician	$0	$28.7M
Michael Morris	MD	Diagnostic Radiology Physician	$12M	$0
Spectrum Healthcare Partners, PA	ME	Diagnostic Radiology Physician	$0	$4.6M
Spectrum Healthcare Partners, PA	ME	Diagnostic Radiology Physician	$0	$3M
Ethan Spiegler	MD	Nuclear Radiology Physician	$2.9M	$0
Spectrum Healthcare Partners, P.A.	ME	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Frederic Yeganeh	MD	Diagnostic Radiology Physician	$2.8M	$0
Karolyn Kerr	NY	Diagnostic Radiology Physician	$1.8M	$676.7K
Thomas Lank	MD	Diagnostic Radiology Physician	$2.2M	$0

Arthur Kane — Billing Profile & Reimbursement Data

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Arthur Kane — 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

Frequently Asked Questions

References