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

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

Radia Inc P S (NPI 1932196607)

Radia Inc P S is a diagnostic radiology physician provider located in Lynnwood, Washington. This profile covers 0 Medicare and 116 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Radia Inc P S
Address	19020 33rd Ave W
City	Lynnwood
State	WA
ZIP	98036
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	September 28, 2005

Payer Source	Total Paid
Medicaid	$19.6M
Medicare	$0

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

116 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.	128,980	$40	$5.4M
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.	103,170	$20	$1.8M
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…	338,650	$1	$1.4M
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…	26,980	$40	$1.1M
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…	184,840	$10	$924.2K
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…	39,480	$20	$907.9K
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.	23,830	$40	$881.7K
70498	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…	18,120	$40	$652.2K
70496	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…	18,070	$40	$650.6K
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…	40,810	$20	$612.2K

Showing 1–10 of 116

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Radia Inc P S — 24 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

116 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	2,830	$150	$1.1M
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	130	2,770	$90	$588.4K
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	990	$170	$343.7K
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	90	1,040	$120	$273.2K
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…	1	70	600	$160	$236.1K
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…	1	120	1,520	$60	$209.2K
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.	1	70	370	$140	$176.7K
70496	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…	1	50	990	$100	$160.2K
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.…	1	40	260	$310	$154.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7	100	820	$60	$147.7K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rafal Sosnowski	IL	Diagnostic Radiology Physician	$1.7M	$75.2K
Patrick Wright	WA	Body Imaging Physician	$942.1K	$0
Kathrin Ahl	WA	Diagnostic Radiology Physician	$557.5K	$0
Kristin Manning	WA	Diagnostic Radiology Physician	$523K	$0
Jonathan Alfert	VA	Diagnostic Radiology Physician	$517.1K	$0
Brent Bose	OR	Vascular & Interventional Radiology Physician	$447.3K	$0
Lloyd Stambaugh	WA	Diagnostic Radiology Physician	$373.9K	$0
Matthew Kinzie	OH	Diagnostic Radiology Physician	$363.5K	$4.9K
John Wheelock	CA	Diagnostic Radiology Physician	$356.6K	$0
Smita Jain	WA	Diagnostic Radiology Physician	$340.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wchs, Inc.	WA	Methadone Clinic	$87.9K	$7.6M
Evergreen Recovery Centers-lynnwood Detox	WA	Substance Abuse Rehabilitation Facility	$0	$6.2M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.7M
Rww Home And Community Rehab Services, Inc.	WA	Home Health Agency	$0	$3.7M
Angela Olson Lmhc LLC	WA	Mental Health Counselor	$0	$3.1M
John Carpenter	WA	Anatomic Pathology & Clinical Pathology Physician	$485.9K	$0
Ross Ondersma	WA	Diagnostic Radiology Physician	$268.5K	$0
Edward Lee	WA	Diagnostic Radiology Physician	$257.3K	$0
Kenneth Hebert	WA	Neuroradiology Physician	$243.8K	$0
Mark Mayhle	WA	Diagnostic Radiology Physician	$241K	$0

Radia Inc P S — Billing Profile & Reimbursement Data

Sign up for Radia Inc P S — Billing Profile & Reimbursement Data policy alerts

Radia Inc P S — Billing Profile & Reimbursement Data

Sign up for Radia Inc P S — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References