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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Cook
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    Douglas Cook — Billing Profile & Reimbursement Data

    NPI 1881673309 · Richmond, VA · Diagnostic Radiology Physician

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    Douglas Cook is a diagnostic radiology physician provider located in Richmond, Virginia. This profile covers 24 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDouglas Cook
    Address2810 N Parham Rd Ste 315
    CityRichmond
    StateVA
    ZIP23294
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJanuary 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$62.6K
    Medicaid$120

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET 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.…260$90$22.6K
    74177The 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$60$5.5K
    70450The 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.150$30$4.2K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…130$30$3.8K
    70491The provider uses computed tomography to examine the neck’s soft tissue structures. The provider administers contrast for this exam.70$50$3.6K
    78452In 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…60$60$3.5K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…30$90$2.8K
    74176The 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.40$70$2.7K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.60$40$2.3K
    78580In this diagnostic procedure, the provider performs a nuclear perfusion imaging test to evaluate the circulation of blood within the patient’s lungs. He does this to identify the presence of any…70$30$1.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788152213080$410$55.5K
    7881431020$1,060$22.2K
    78816296030$480$19K
    7845224541070$180$17.2K
    74177402590150$80$15.1K
    70450344570200$30$7.9K
    7417641456080$70$6.8K
    7127551354070$70$6.4K
    7125043656080$50$5.9K
    7126026152060$50$4.9K

    Showing 1–10 of 24

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In 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…20$10$130

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In 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…403460150$10$43.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Radiology P CVADiagnostic Radiology Physician$0$9.6M
    Mohammed RazviMDVascular & Interventional Radiology Physician$3.4M$0
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Amos HabibVADiagnostic Radiology Physician$383.7K$130
    Karen KilleenVADiagnostic Radiology Physician$310.7K$460
    Jawad HussainVAVascular & Interventional Radiology Physician$286K$0
    Charlotte CockrellVADiagnostic Radiology Physician$264.5K$0
    Bert PiggottVADiagnostic Radiology Physician$239.5K$0
    Rakesh AgarwalVADiagnostic Radiology Physician$208.3K$0
    Alan PadgettVADiagnostic Radiology Physician$199.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavioral Health Services Of Virginia CorporationVACommunity/Behavioral Health Agency$0$25.1M
    Aaa Home Health Care LLCVAHome Health Agency$0$13.8M
    River City Comprehensive Counseling Services, LLCVACommunity/Behavioral Health Agency$0$10.7M
    Insight Physicians PCVAPsychiatry Physician$0$8.4M
    River City Comprehensive Counseling Services, LLCVACommunity/Behavioral Health Agency$0$7.4M
    Family Focus, LLCVACase Management Agency$0$7.3M
    Pony-care Transportation, IncVANon-emergency Medical Transport (VAN)$0$6.7M
    David CarletonVARheumatology Physician$4.3M$0
    Michael StrachanVARheumatology Physician$2.9M$0
    Tammy SpringVARheumatology Physician$1.3M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Douglas Cook — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Douglas Cook — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia