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NPI 1942208079 · Northbrook, IL · Diagnostic Radiology Physician
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Andrew Rosenson is a diagnostic radiology physician provider located in Northbrook, Illinois. This profile covers 19 Medicare and 12 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 | Andrew Rosenson |
| Address | 1901 Raymond Dr Ste 5 |
| City | Northbrook |
| State | IL |
| ZIP | 60062 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | July 12, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.1M |
| Medicaid | $193.2K |
Medicare is the primary revenue source for this provider: reported Medicare revenue is $3.1M compared with $193.2K in Medicaid. The provider therefore operates with a Medicare-dominant payer mix, and Medicaid represents a much smaller share of lifetime revenue on file.
Revenue is highly concentrated at both payers: the precomputed metrics show the top 3 Medicare codes by revenue account for 91.2% of this provider's total Medicare revenue, while the top 3 Medicaid codes account for 57.7% of total Medicaid revenue. That level of concentration indicates the business is driven by a very small set of procedures and could be sensitive to changes in reimbursement or volume for those services.
The single largest Medicare revenue driver is K1034 (228.5K claims, $2.7M revenue; 87.5% of Medicare revenue), which is billed at very high volume and is flagged as notably above typical national volume (rank #121 of 30143, 100th percentile). This indicates substantial involvement in nonprescription self‑administered COVID test provisioning on the Medicare side — a nontraditional revenue stream for a Diagnostic Radiology Physician taxonomy that shapes overall Medicare earnings.
Alongside the COVID testing volume, the provider’s procedural mix shows a clear emphasis on diagnostic ultrasound and vascular studies. Medicare top codes include 93306 (echocardiography), 93880 (duplex arterial scanning), 93975 (complete abdominal/retroperitoneal duplex), and multiple abdominal ultrasound codes (e.g., 76700), and these same modalities appear among the top Medicaid codes, signaling that day‑to‑day operations are centered on imaging and noninvasive vascular diagnostics.
Several individual codes show a strong competitive position nationally and in‑state. Medicare 93880 is an "extreme outlier" (449 claims, $54.8K; rank #285 of 21316, 99th percentile) and Medicare 76700 is also characterized as an "extreme outlier" (346 claims, $26.6K; rank #141 of 12347, 99th percentile), while K1034 is notably above typical national volume. On the Medicaid side, 93880 (rank #5 of 78, 95th percentile), 76700 (rank #9 of 119, 93rd percentile), and 93975 (rank #12 of 114, 90th percentile) all place the provider toward the upper end of state peers for vascular and abdominal ultrasound services.
The concentration in high‑volume testing codes (K1034 on Medicare) combined with a cluster of high‑percentile ultrasound and duplex procedure codes suggests a hybrid operation: heavy participation in programmatic COVID test provisioning plus a sustained, high-volume diagnostic imaging practice focused on vascular and abdominal studies. This mixed code profile implies different operational workflows and reimbursement drivers than a pure radiology‑only practice.
Operationally, the provider’s dependence on a few high-revenue codes creates potential sensitivity to policy or demand shifts for those services. Given that K1034 alone accounts for $2.7M and 87.5% of Medicare revenue, any major change to coverage or program rules for that code would materially affect total Medicare payments; the Medicaid portfolio, while less dominated by a single code, still derives 57.7% of its revenue from the top three codes, indicating concentrated exposure there as well.
The provider has an established presence in the market with an NPI enumerated on 2005-07-12 (~21 years ago), suggesting long tenure that would support the development of referral relationships and sustained procedural volume across both Medicare and Medicaid payers. That longevity, together with high percentile ranks on several imaging and vascular codes, aligns with a mature outpatient diagnostic imaging and vascular service line rather than a newly formed practice.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 228,520 | $10 | $2.7M |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 510 | $120 | $62.6K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 450 | $120 | $54.8K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 240 | $200 | $48.4K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 240 | $180 | $43.2K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 150 | $210 | $30.8K |
| 93978 | The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess… | 230 | $130 | $29.5K |
| 76700 | 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… | 350 | $80 | $26.6K |
| 76770 | A 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… | 280 | $80 | $21.7K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 150 | $120 | $17.1K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 31 | 1,150 | 720 | $10 | $414.9K |
| 93306 | 158 | 930 | 230 | $70 | $21.8K |
| 93886 | 2 | 10 | 50 | $170 | $12.6K |
| 74177 | 998 | 1,020 | 120 | $80 | $11.7K |
| 93925 | 11 | 370 | 30 | $120 | $7.3K |
| 93880 | 12 | 740 | 40 | $80 | $5.6K |
| 93970 | 90 | 910 | 40 | $60 | $4.5K |
| 93978 | 1 | 130 | 30 | $90 | $4.5K |
| 76881 | 50 | 60 | 30 | $40 | $3.8K |
| 93923 | 11 | 230 | 30 | $60 | $3.3K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 640 | $80 | $50.2K |
| 76700 | 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… | 910 | $40 | $36.5K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 510 | $50 | $24.9K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 510 | $40 | $18K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 250 | $60 | $14.6K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 190 | $60 | $11.8K |
| 76881 | In 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… | 120 | $90 | $10.5K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 290 | $30 | $9.7K |
| 76770 | A 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… | 200 | $40 | $7.3K |
| 93923 | Noninvasive 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.… | 180 | $40 | $7.1K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 763 | 800 | 390 | $30 | $24K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 12 | 110 | 90 | $60 | $19.6K |
| 76700 | 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… | 9 | 120 | 60 | $40 | $10.3K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 219 | 430 | 60 | $40 | $9.7K |
| 76770 | A 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… | 74 | 250 | 60 | $40 | $9.4K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 10 | 50 | 70 | $20 | $8.4K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 79 | 260 | 80 | $20 | $7K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 11 | 130 | 50 | $30 | $6.2K |
| 76881 | In 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… | 3 | 10 | 90 | $20 | $5.2K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 12 | 170 | 40 | $40 | $4.3K |
Showing 1–10 of 12
Other providers in the same ZIP code as Andrew Rosenson, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Josselyn Center Nfp | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $41.7M |
| Chicago Clinical Laboratories, Ltd | IL | Clinical Medical Laboratory | $5M | $11.6M |
| Village Of Northbrook | IL | Land Ambulance | $876.3K | $1.4M |
| James Lahti | IL | MOHS-Micrographic Surgery Physician | $1.4M | $0 |
| Tamara Wyse | IL | Ophthalmology Physician | $1.1M | $0 |
| Lewis Wasserman | IL | Foot Surgery Podiatrist | $473.9K | $252.3K |
| Lev Diagnostics Inc | IL | Mobile Radiology Clinic/Center | $625.6K | $370 |
| Leon Gurvich | IL | Adult Health Nurse Practitioner | $382.6K | $220.5K |
| Zinoviy Rabinovich | IL | Podiatrist | $470.5K | $17.2K |
| Timothy Lantvit | IL | Podiatrist | $265.3K | $159.1K |
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