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NPI 1932197803 · Providence, RI · Diagnostic Radiology Physician
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Lawrence Davis is a diagnostic radiology physician provider located in Providence, Rhode Island. This profile covers 44 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Lawrence Davis |
| Address | 593 Eddy St |
| City | Providence |
| State | RI |
| ZIP | 02903 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | October 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $273.2K |
| Medicaid | $48.1K |
This provider is a diagnostic radiology physician in Providence, RI with an NPI enumerated on 2005-10-13 (~21 years ago), indicating long-standing Medicare/Medicaid billing activity and likely an established practice or affiliation in the market. Tenure suggests sustained service delivery capacity and experience interpreting a broad set of imaging modalities over two decades.
Total reported lifetime Medicare revenue is $273.2K versus Medicaid revenue of $48.1K, so Medicare is the dominant payer by scale in this profile; the presence of both payers indicates mixed payer activity but Medicare accounts for the large majority of recorded public-payer revenue.
Medicare revenue is driven by high-volume MRI and spine imaging: the top 3 Medicare codes account for 45.8% of total Medicare revenue, led by 70553 ($52.6K, 20.5% of Medicare revenue), 72148 ($41.3K, 16.1%), and 70551 ($23.6K, 9.2%). This concentration shows the practice is specialized around brain and spinal MRI studies rather than a broad mix of radiology services.
On Medicare competitive standing the provider shows above-typical national volumes for many MRI and spine codes: 70553 ranks #250 of 11,271 providers (98th percentile), 70551 ranks #464 of 13,508 (97th percentile), and 72148 ranks #637 of 14,990 (96th percentile). These percentiles indicate the provider performs substantially more of these brain and lumbar MRI exams than most peers nationally, consistent with a regional referral role for neuroradiology or spine imaging.
One Medicare code is flagged as an extreme outlier: 72158 (contrast-enhanced lumbar MRI) is listed at rank #38 of 5,557 providers (99th percentile) and described as an "extreme outlier, far above typical national volume for this code." That label, combined with its contribution of $20.9K (8.1% of Medicare revenue), reinforces the interpretation that the provider has unusually high throughput for contrast lumbar MRI relative to national peers.
On Medicaid, revenue is highly concentrated: the top 3 Medicaid codes account for 94.4% of Medicaid revenue, with 70553 ($24.8K, 51.6% of Medicaid revenue), 72148 ($13.7K, 28.5%), and 70551 ($6.9K, 14.4%) dominating. This indicates Medicaid billing is focused almost exclusively on brain and lumbar MRI services rather than a broader service slate.
Competitive standing within Rhode Island Medicaid appears modest-to-typical: for the top Medicaid codes the provider ranks around midpack in-state (70553 rank #10 of 17, 72148 rank #8 of 14, 70551 rank #10 of 13). Those placements (percentiles in the 25th–46th range as reported) suggest the provider is a routine in-state participant for these MRI services rather than a statewide leader for Medicaid volumes.
Beyond MRI, the provider bills a range of CT and plain radiography codes on Medicare (e.g., 70450 CT head, 72131 CT lumbar, 77080 DXA) but those services each contribute relatively small shares individually; many of these non-MRI codes are at typical national volumes, indicating imaging breadth but clear specialization in MRI-based brain and spine diagnostics.
Overall, the profile points to a long-tenured diagnostic radiologist whose business is concentrated on high-volume brain and spine MRI exams for Medicare patients, with Medicaid activity mirroring that focus but at lower absolute scale and more average in-state market position. The combination of high national percentiles on multiple MRI spine/brain codes and heavy top-code concentration suggests a service-line strategy centered on neuroradiology/spine imaging throughput.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
44 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… | 370 | $140 | $52.6K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 320 | $130 | $41.3K |
| 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. | 280 | $80 | $23.6K |
| 72158 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material. | 130 | $160 | $20.9K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 150 | $110 | $16.3K |
| 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. | 310 | $40 | $11K |
| 72146 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents without using contrast. | 100 | $100 | $9.8K |
| 72157 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents first without using contrast and again after injecting contrast material. | 60 | $140 | $9.1K |
| 72156 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the cervical spinal canal and contents first without using contrast and again after injecting contrast material. | 70 | $120 | $8.1K |
| 72131 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material. | 100 | $80 | $8K |
Showing 1–10 of 44
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 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… | 160 | $160 | $24.8K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 60 | $210 | $13.7K |
| 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. | 50 | $130 | $6.9K |
| 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. | 50 | $40 | $2K |
| 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… | 60 | $10 | $690 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 10 | 20 | 190 | $520 | $504.7K |
| 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. | 10 | 10 | 250 | $240 | $210.5K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 8 | 10 | 150 | $280 | $205.5K |
| 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. | 37 | 60 | 90 | $70 | $79.2K |
| 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… | 97 | 130 | 260 | $30 | $52K |
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