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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Heather Boo (NPI 1972700177)

Field	Value
Entity Type	Individual
Organization	Heather Boo
Address	1 Medical Center Drive
City	Morgantown
State	WV
ZIP	26506
Taxonomy	Neuroradiology Physician
NPI Enumerated	June 29, 2007

Payer Source	Total Paid
Medicare	$596.8K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: total Medicare revenue is $596.8K and there is no Medicaid billing on file. The absence of Medicaid activity means Medicaid represents zero scale in this provider’s public payer mix and Medicare drives all observed revenue patterns.

The NPI was enumerated on 2007-06-29 (~19 years ago), indicating long tenure in the Medicare program. That longevity supports interpreting current code volumes as the output of an established practice rather than a short‑term anomaly.

Taxonomy listed as Neuroradiology Physician and the top revenue codes are dominated by neuro and spine MRI services (for example 72148, 70553, 70551 and 72141), which signals a service line built around advanced MRI imaging of the brain and spinal canal. The overall code mix — with additional CT and ultrasound lines present — is consistent with a radiology practice centered on diagnostic neuroradiology with ancillary cross‑sectional imaging capability.

Revenue concentration is high: the top 3 Medicare codes account for 51.9% of this provider's total Medicare revenue, with 72148 at 24.3%, 70553 at 14.6%, and 70551 at 13.1%. This degree of concentration implies the practice’s financial performance is closely tied to sustained high volume in a small set of MRI exams.

On competitive standing the provider is a national high‑volume performer for multiple MRI codes: 72148 ranks #53 of 14990 (100th percentile; extreme outlier), 70551 ranks #130 of 13508 (99th percentile; extreme outlier), and 70553 ranks #426 of 11271 (96th percentile; notably above typical national volume). These ranks indicate the provider operates at far higher-than-typical national volume for core neuroradiology MRI services.

Spine MRI volumes beyond the top code also stand out: 72141 (cervical MRI without contrast) ranks #39 of 10999 (100th percentile; extreme outlier) and 72146 (thoracic MRI without contrast) ranks #78 of 5919 (99th percentile; extreme outlier). The repeated ‘extreme outlier’ designation across lumbar, cervical, and thoracic MRI codes reinforces a specialty focus and unusually large MRI throughput.

The practice also bills a range of non‑neuro imaging codes at modest levels, showing operational breadth: for example, 70450 (CT head without contrast) generated $19K revenue (3.5% of this provider's total Medicare revenue) and 74177 (CT abdomen/pelvis with contrast) generated $16.2K revenue (3.0% of this provider's total Medicare revenue). These secondary streams suggest availability of CT and abdominal imaging services but at volumes much smaller than the core MRI work.

From a payer‑management perspective, dependence on Medicare ($596.8K) with no Medicaid activity exposes the provider to single‑payer concentration risk and makes Medicare volume trends the primary determinant of revenue. Given the very high national ranks on key MRI codes, payers should view this provider as a major regional/national MRI capacity source for neuroradiology care rather than a modest or occasional imaging vendor.

Medicare: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	870	$150	$132.8K
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…	310	$260	$79.6K
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.	450	$160	$71.5K
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.	420	$140	$59.4K
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.	230	$80	$19K
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.	70	$240	$16.2K
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.	110	$140	$16K
72146	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents without using contrast.	120	$130	$15.7K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	150	$100	$15.4K
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…	570	$20	$13.7K

Showing 1–10 of 53

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 53 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Heather Boo — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

53 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70543	1	10	40	$280	$10.3K
74177	99	130	150	$60	$10K
74176	64	130	110	$60	$7.5K
70450	59	130	220	$30	$6.7K
70549	1	10	20	$290	$5.2K
71250	33	130	100	$40	$4.7K
70553	1	90	40	$100	$4.5K
A9575	1	10	38,790	$1	$4.2K
72148	1	100	50	$70	$4K
71260	92	120	70	$40	$3K

Showing 1–10 of 53

Related Providers

Other providers that share a Tax Identification Number (TIN) with Heather Boo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mori Bean And Brooks Inc	FL	Diagnostic Radiology Physician	$0	$10.5M
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Hyun Bang	MD	Vascular & Interventional Radiology Physician	$1.5M	$840
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Daniel Rudensky	FL	Diagnostic Radiology Physician	$1.3M	$0
Marilin Espino-maya	FL	Diagnostic Radiology Physician	$1.2M	$0
Chad Engel	FL	Vascular & Interventional Radiology Physician	$1.1M	$0
Jonathan Wiener	FL	Diagnostic Radiology Physician	$1.1M	$0
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Steven Hake	CO	Diagnostic Radiology Physician	$982.7K	$0

Nearby Providers

Other providers in the same ZIP code as Heather Boo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Medical Corporation	WV	Family Medicine Physician	$0	$162.1M
West Virginia University Hospitals, Inc	WV	General Acute Care Hospital	$0	$124.1M
West Virginia University Hospitals, Inc.	WV	Substance Abuse Rehabilitation Facility	$0	$15.4M
West Virginia University Dental Corporation	WV	Dentist	$0	$5.9M
West Virginia University Hospitals, Inc	WV	Emergency Medicine Physician	$0	$3M
Arijit Chakravarty	WV	Nephrology Physician	$281K	$0
Adeem Akbar	WV	Nephrology Physician	$162.7K	$0
Robert Marsh	WV	Neurological Surgery Physician	$152.1K	$0
Mark Lisle	WV	Diagnostic Radiology Physician	$150.1K	$710
Brian Hamlin	WV	Adult Reconstructive Orthopaedic Surgery Physician	$148.2K	$0

Heather Boo — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References