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    OpenPayerNPI Medicare & MedicaidBeverly Radiology Medical Group Iii
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    Beverly Radiology Medical Group Iii — Billing Profile & Reimbursement Data

    NPI 1962457812 · Los Angeles, CA · Diagnostic Radiology Physician

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    Beverly Radiology Medical Group Iii is a diagnostic radiology physician provider located in Los Angeles, California. This profile covers 0 Medicare and 201 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBeverly Radiology Medical Group Iii
    Address1510 Cotner Ave
    CityLos Angeles
    StateCA
    ZIP90025
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 22, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$163.3M
    Medicare$0

    Key Findings

    This provider reports no Medicare billing on file and has recorded $163.3M in lifetime Medicaid revenue, effectively making its public-payer footprint single-payer (Medicaid) in the available data. Analysts should treat Medicaid as the primary driver of reported volumes and revenue rather than a mixed Medicare/Medicaid mix.

    Revenue is concentrated in a small set of high-volume imaging codes: the top three Medicaid codes (77067, 72148, 73721) together account for 31.2% of the provider's total Medicaid revenue. Individually these codes are $17.5M (14.1%) for 77067, $10.7M (8.6%) for 72148, and $10.6M (8.5%) for 73721, indicating a meaningful dependence on screening mammography and MRI services.

    The code mix points to an operation oriented around high-throughput diagnostic imaging with a clinical emphasis on breast imaging and MRI-based diagnostics. High revenue and claim counts for 77067 (screening mammography) alongside large MRI volumes for spine and extremity (72148 and 73721) and substantial PET/CT revenue (78815, $10.1M) suggest the group provides both routine screening and advanced cross-sectional studies used in oncologic and musculoskeletal workups.

    Competitive standing within California is dominant for many lines: 77067 ranks #1 of 899 providers in-state (100th percentile; extreme outlier) and both 72148 and 73721 also rank #1 in their respective peer sets (100th percentile; extreme outlier). Multiple other high-revenue codes (for example 78815, 70553, 76700, 76642, 77063) likewise show top-in-state ranks or extreme outlier status, consistent with a major statewide presence in diagnostic radiology.

    Claim volumes across many codes are very large, consistent with a high-throughput configuration rather than a low-volume specialty practice: examples include 77063 at 195.1K claims ($4.3M), 71046 at 216.1K claims ($2.8M), 76642 at 136.8K claims ($4.8M), and 76700 at 133.9K claims ($5.0M). These volumes support the interpretation of either multiple service locations or a centralized operation performing large daily exam volumes across mammography, ultrasound, and radiography.

    The presence of advanced imaging modalities with substantial revenue shares—78815 PET/CT ($10.1M), MRI brain 70553 ($6.9M), CT abdomen/pelvis 74178 ($3.6M), and contrast MRI sequences such as 72197 ($2.3M)—indicates capacity to manage diagnostic pathways for oncology and complex diagnostic referrals in addition to screening and musculoskeletal imaging. This breadth increases the provider's role in higher-acuity diagnostic workflows.

    The provider’s revenue profile presents concentration risk: with $163.3M all from Medicaid and the top three codes accounting for 31.2% of Medicaid revenue, changes in Medicaid reimbursement, coverage policies, or referral patterns for these imaging services could materially affect reported revenue. Analysts should flag this dependence when modeling reimbursement sensitivity or payer strategy scenarios.

    The NPI was enumerated on 2006-05-22 (~20 years ago), indicating a long-tenured presence in the market; combined with consistent #1 statewide rankings across many imaging codes, this tenure reinforces the characterization of an established, high-volume diagnostic radiology organization within California.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    201 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…349,700$50$17.5M
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.78,100$140$10.7M
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.75,310$140$10.6M
    78815PET 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.…13,350$760$10.1M
    70553In 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…31,310$220$6.9M
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.43,650$140$5.9M
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…37,820$150$5.6M
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.36,500$140$5.1M
    76700An 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…133,920$40$5M
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.136,820$40$4.8M

    Showing 1–10 of 201

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    201 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78815PET 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.…1230270$840$717.2K
    74177The 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.757801,160$130$576.2K
    70450The 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.689001,400$60$342.7K
    70553In 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…1330250$260$311.4K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…42050$1,330$242.7K
    74176The 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.11690890$80$240.7K
    74160The provider performs computed tomography to create cross–sectional images of the abdomen to aid in the diagnosis and treatment of abdominal conditions. He injects contrast material to enhance the…410120$130$235.9K
    77067The 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…1900560$70$230.3K
    93306The 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…1,3451,500410$100$209.4K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.1390230$170$163.1K

    Showing 1–10 of 201

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Beverly Radiology Medical Group Iii, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dalia ArtalCADiagnostic Radiology Physician$2M$0
    Robert KrasnyCAVascular & Interventional Radiology Physician$1.3M$0
    Omid BendavidCADiagnostic Radiology Physician$948.3K$0
    Robert SitarzCADiagnostic Radiology Physician$875K$0
    Maikel MankariousCADiagnostic Radiology Physician$852K$0
    Edmund WongWANuclear Radiology Physician$801K$0
    Patrick AloreCADiagnostic Radiology Physician$766.5K$0
    Kourosh NaeiniCADiagnostic Radiology Physician$709.1K$120
    Bernard GeroCADiagnostic Neuroimaging (Radiology) Physician$648K$0
    Bedro JinCADiagnostic Radiology Physician$630.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Beverly Radiology Medical Group Iii, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel TaheriCADermatology Physician$3.3M$7.4K
    Inderjit MehmiCAHematology & Oncology Physician$2.3M$0
    Michael TaheryCAGynecology Physician$2.2M$930
    David LazarCARetina Specialist (Ophthalmology) Physician$1.9M$0
    Rudy RezzadehCACardiovascular Disease Physician$1.5M$76.3K
    Jason AguirreCAGeneral Practice Physician$874K$0
    Walter OsiasCADiagnostic Radiology Physician$759.8K$0
    Aslan PirouzCAInternal Medicine Physician$678K$0
    Mohsen HamzaCANeurology with Special Qualifications in Child Neurology Physician$606K$290
    Isabella LaiCAInternal Medicine Physician$572.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Beverly Radiology Medical Group Iii — 23 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California