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

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

Midwest Radiology, PA (NPI 1952307175)

Midwest Radiology, PA is a diagnostic radiology physician provider located in Roseville, Minnesota. This profile covers 0 Medicare and 162 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	Midwest Radiology, PA
Address	2355 Hwy 36 W.
City	Roseville
State	MN
ZIP	55113
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 22, 2005

Payer Source	Total Paid
Medicaid	$31.2M
Medicare	$0

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

162 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.	146,020	$40	$6.4M
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.	149,640	$20	$2.8M
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.	49,690	$40	$2M
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…	48,330	$40	$2M
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…	23,550	$50	$1.2M
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…	234,050	$10	$1.2M
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…	48,410	$20	$968.3K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	41,160	$20	$946.7K
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…	210,090	$1	$840.3K
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…	15,500	$40	$619.9K

Showing 1–10 of 162

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Midwest Radiology, PA — 24 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

162 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	163	170	620	$40	$333K
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	160	110	$50	$172.2K
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	40	320	$80	$153.6K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	3	40	300	$40	$123.1K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	2	40	150	$70	$103.5K
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.	1	160	170	$30	$95.7K
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.	1	30	330	$50	$87.8K
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	10	150	$50	$87.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	11	80	390	$60	$84.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	2	40	140	$80	$84.4K

Showing 1–10 of 162

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Home Respiratory Services LLC	MN	Durable Medical Equipment & Medical Supplies	$0	$197.4M
Acr Homes, Inc.	MN	Adult Care Home Facility	$0	$156M
Ablenet Inc	MN	Durable Medical Equipment & Medical Supplies	$0	$114.5M
Presbyterian Homes And Services	MN	Home Health Agency	$0	$37.9M
Brain Injury Association Of Minnesota	MN	Case Management Agency	$0	$26.9M
Sasaki Medical LLC	MN	Addiction Medicine (Family Medicine) Physician	$0	$24M
Pediatric Home Respiratory Services LLC	MN	Home Infusion Therapy Pharmacy	$0	$14.2M
Minnesota Epilepsy Group PA	MN	Neurology Physician	$0	$9.2M
Roseville Ops LLC	MN	Assisted Living Facility	$0	$6.6M
Presbyterian Homes Hospice Inc	MN	Exclusive Provider Organization	$0	$5.5M

Midwest Radiology, PA — Billing Profile & Reimbursement Data

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Midwest Radiology, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Shree Subedi	WA	Diagnostic Radiology Physician	$774.2K	$0
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
James Sullivan	MN	Diagnostic Radiology Physician	$589.8K	$0
Michael Lin	MN	Diagnostic Radiology Physician	$142.8K	$270.1K
Bradley Close	MN	Diagnostic Radiology Physician	$397.3K	$0
Meghan Mckeon	MO	Diagnostic Radiology Physician	$318.9K	$0
Ashley Anderson	MN	Diagnostic Radiology Physician	$279.7K	$0
Benjamin Meyer	MN	Diagnostic Radiology Physician	$255.9K	$0
Joshua Johnson	MN	Diagnostic Radiology Physician	$243.7K	$0