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.

Jay Pillai (NPI 1972603439)

Jay Pillai is a diagnostic radiology physician provider located in Rochester, Minnesota. This profile covers 18 Medicare and 0 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)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Jay Pillai
Address	200 1st St Sw
City	Rochester
State	MN
ZIP	55905
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicare	$88.7K
Medicaid	$0

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

18 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…	180	$220	$39.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	40	$150	$5.7K
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.	30	$150	$4.4K
70543	The provider obtains multi–sequence and multi–planar images of the orbits, face, and/or neck initially without the use of contrast and then injects contrast to see additional images and diagnose…	20	$260	$4.2K
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.	20	$230	$4.2K
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.	110	$40	$3.9K
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.	20	$250	$3.7K
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.	20	$210	$3.1K
72131	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material.	50	$60	$2.7K
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.	20	$130	$2.3K

Showing 1–10 of 18

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70553	40	370	50	$130	$10.3K
70450	521	790	160	$30	$7.2K
72148	200	430	40	$80	$5.3K
70496	280	460	40	$70	$4.3K
70498	282	480	40	$60	$4.1K
70551	252	450	30	$60	$3.8K
70543	14	50	10	$200	$3.2K
72158	103	190	20	$130	$3.1K
72125	423	710	60	$40	$3.1K
72141	199	290	30	$80	$3K

Jay Pillai — Billing Profile & Reimbursement Data

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Jay Pillai — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References