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    OpenPayerNPI Medicare & MedicaidLucy Modahl
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    Lucy Modahl — Billing Profile & Reimbursement Data

    NPI 1902868730 · Coeur D Alene, ID · Diagnostic Radiology Physician

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    Lucy Modahl is a diagnostic radiology physician provider located in Coeur D Alene, Idaho. This profile covers 21 Medicare and 6 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
    OrganizationLucy Modahl
    Address601 Front Avenue
    CityCoeur D Alene
    StateID
    ZIP83814
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 5, 2006

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

    Payer SourceTotal Paid
    Medicare$132.7K
    Medicaid$18.9K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71275In 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…360$70$26.2K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.390$50$18.7K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.340$50$16.4K
    71045In 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…1,670$10$13.3K
    76700An 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…200$50$9.8K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…210$50$9.3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.170$50$8.7K
    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.70$70$5.3K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.90$50$4.3K
    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…530$10$4.2K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7417790130120$70$10.6K
    71275212070$60$4.9K
    741765312040$60$3.8K
    712601610070$40$3.7K
    71250410060$40$3.7K
    710451140290$10$2.2K
    93880516050$40$2.1K
    74174336020$80$1.9K
    93970238030$40$1.7K
    9397110711040$20$1.3K

    Showing 1–10 of 21

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71045In 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…2,050$1$6.2K
    71275In 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…230$20$5.1K
    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…620$10$3.7K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.140$20$2.4K
    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.30$70$1.7K
    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.20$30$480

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.3640530$70$237.8K
    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.3840510$30$75.4K
    71275In 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…1420400$80$48.8K
    71045In 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…22501,070$10$35K
    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…3680510$10$21.6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.51070$30$8.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prosser Public Hospital District Of Benton CountyWACritical Access Hospital$0$50.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wellspan Medical GroupPAPsychiatry Physician$0$22.3M
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$21.2M
    The Good Samaritan Hospital Of Lebanon, PennsylvaniaPAGeneral Acute Care Hospital$0$18.2M
    Wellspan Medical GroupPAPediatrics Physician$0$9.9M
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$7.5M
    Gsh Home Med Care LLCPAOxygen Equipment & Supplies (DME)$0$6.5M
    Prosser Public Hospital District Of Benton CountyWARural Health Clinic/Center$0$6.5M
    Prosser Public Hospital District Of Benton CountyWARural Health Clinic/Center$0$5.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Res-care Washington, IncIDIn Home Supportive Care Agency$0$31.9M
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$13.6M
    Coeur D'alene Pediatrics PAIDPediatrics Physician$0$11.6M
    Coeur D'alene School District #271IDLocal Education Agency (LEA)$0$9.8M
    Ambitions Of Idaho, IncIDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$7.1M
    Kootenai Health, Inc.IDGeneral Acute Care Hospital$0$7M
    Family Support Services Of North IdahoIDMental Health Counselor$0$6.9M
    Dirne Health Centers, IncIDFederally Qualified Health Center (FQHC)$0$6.7M
    Kootenai Health, Inc.IDPsychiatry Physician$0$6.7M

    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. Idaho Distribution
    Lucy Modahl — 10 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho
    Medicaid Revenue by Year vs. Idaho Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Lucy Modahl — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho