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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhillip Carmody
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    Phillip Carmody — Billing Profile & Reimbursement Data

    NPI 1922018712 · Albuquerque, NM · Diagnostic Radiology Physician

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    Phillip Carmody is a diagnostic radiology physician provider located in Albuquerque, New Mexico. This profile covers 4 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPhillip Carmody
    Address10400 Academy Rd Ne
    CityAlbuquerque
    StateNM
    ZIP87111
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedAugust 8, 2006

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

    Payer SourceTotal Paid
    Medicare$14.8K
    Medicaid$0

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…60$70$4.4K
    93926The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…50$90$4.2K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…50$90$4.2K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…50$40$2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93923163060$60$4.2K
    939714710050$40$3.3K
    7688131040$40$2.8K
    9392632020$30$700

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    After Hours Pediatrics PCNMPediatrics Physician$0$34M
    Duke City Urgent CareNMUrgent Care Clinic/Center$0$29.3M
    New Pathways IncNMDevelopmentally Disabled Services Day Training Agency$0$24.4M
    Heartwell Services LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$22.2M
    Transitional Lifestyles Community Inc.NMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.7M
    Michael Cito Dds LLCNMPediatric Dentistry$0$9.9M
    Epiphany Dermatology Of New Mexico, LLCNMDermatology Physician$0$6.3M
    All About You , Homehealthcare LLCNMHome Health Agency$0$5.5M
    Planned Parenthood Of The Rocky Mountains, IncNMAmbulatory Family Planning Facility$0$3.2M
    Solana Care, LcNMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$3M

    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. New Mexico Distribution
    Phillip Carmody — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico