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

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

Abercrombie Radiological Consultants Inc (NPI 1942207154)

Abercrombie Radiological Consultants Inc is a diagnostic radiology physician provider located in Knoxville, Tennessee. This profile covers 0 Medicare and 60 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	Abercrombie Radiological Consultants Inc
Address	4820 Old Kingston Pike
City	Knoxville
State	TN
ZIP	37919
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 1, 2005

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	27,860	$30	$891.6K
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.	18,010	$40	$666.4K
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.	33,680	$10	$437.8K
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…	130,240	$1	$390.7K
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…	55,060	$1	$220.3K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	3,560	$40	$135.1K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	5,460	$20	$81.8K
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…	6,340	$10	$69.8K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	3,130	$20	$62.6K
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	7,610	$1	$30.4K

Showing 1–10 of 60

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Abercrombie Radiological Consultants Inc — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

60 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.	12	210	400	$50	$157.2K
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…	51	50	170	$110	$131.5K
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.	36	50	130	$70	$104K
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.	10	230	460	$20	$83K
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.…	18	30	90	$170	$78.8K
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.	3	170	170	$40	$63.7K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	8	80	170	$40	$63.6K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	19	80	150	$90	$61.8K
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…	7	310	1,590	$1	$53.4K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	156	170	160	$50	$47.9K

Showing 1–10 of 60

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Zachary Jumper	TN	Diagnostic Radiology Physician	$328.1K	$0
James Haug	CO	Diagnostic Radiology Physician	$326.9K	$0
Noman Malik	GA	Diagnostic Radiology Physician	$326.1K	$0
Amy Blevins	TN	Family Nurse Practitioner	$272.5K	$0
Christopher Aikens	TN	Diagnostic Radiology Physician	$259.5K	$0
Nathan Hannemann	CO	Diagnostic Radiology Physician	$210K	$2K
John Stallworth	TN	Diagnostic Radiology Physician	$196.5K	$0
Benjamin Egner	TN	Diagnostic Radiology Physician	$194.7K	$0
Mark Camens	MI	Diagnostic Radiology Physician	$176.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuumrx, Inc.	TN	Home Infusion Therapy Pharmacy	$0	$6.7M
Abco Medical Supply, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$6.3M
Bright Eye Consultants PC	TN	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$0	$2.5M
Statcare Inpatient LLC	TN	Internal Medicine Physician	$0	$2.5M
Bjr Enterprises, LLC	TN	In Home Supportive Care Agency	$0	$2.4M
Todd Scarbrough	TN	Therapeutic Radiology Physician	$1.3M	$0
Robert Griffith	TN	Dermatology Physician	$727.3K	$0
Christopher Pollock	TN	Vascular Surgery Physician	$662.5K	$0
Adam Wright	TN	Dermatology Physician	$564.7K	$0
Danielle Mote	TN	Family Nurse Practitioner	$484.5K	$13.8K

Abercrombie Radiological Consultants Inc — Billing Profile & Reimbursement Data

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Abercrombie Radiological Consultants Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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