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    OpenPayerNPI Medicare & MedicaidJoshua Russell
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    Joshua Russell — Billing Profile & Reimbursement Data

    NPI 1992234470 · Worcester, MA · Internal Medicine Physician

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    Joshua Russell is a internal medicine physician provider located in Worcester, Massachusetts. This profile covers 61 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJoshua Russell
    Address123 Summer St
    CityWorcester
    StateMA
    ZIP01608
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 8, 2017

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

    Payer SourceTotal Paid
    Medicare$133.3K
    Medicaid$1.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    61 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.210$70$14K
    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…360$40$13.5K
    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.420$30$12.7K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…360$30$10.9K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.190$40$7.9K
    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.110$70$7.1K
    71046In 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…850$10$6.8K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.180$40$6.3K
    71045In 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…890$10$6.2K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.90$40$3.6K

    Showing 1–10 of 61

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    61 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788159816070$580$94.4K
    77067203390390$60$30.7K
    77063195380370$30$17.3K
    74177205620140$80$15.4K
    70450107590210$30$7.9K
    77085233060$40$7.4K
    7055132340060$80$6.7K
    712608155060$50$6K
    7125025059070$50$5.9K
    2061084298060$50$5.8K

    Showing 1–10 of 61

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In 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…130$10$1K
    71045In 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…20$20$460

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In 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…306590150$10$61.1K
    71045In 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…288330230$1$31.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physicians For Women's Health LLCCTObstetrics & Gynecology Physician$0$57.3M
    Caitlin LopezMADiagnostic Radiology Physician$361.8K$3.6K
    Harish PanickerFLNeuroradiology Physician$233.7K$0
    Mia JacksonFLDiagnostic Radiology Physician$221.5K$0
    Karl CoynerMADiagnostic Radiology Physician$217K$0
    Yariv CohenAKDiagnostic Radiology Physician$68.2K$145K
    Gregory BerberianMADiagnostic Radiology Physician$206.3K$4.1K
    Mohsin GhadialiWIDiagnostic Radiology Physician$155.6K$17.4K
    Donna RoseCTAnatomic Pathology & Clinical Pathology Physician$166.3K$0
    Abigail ChildsMADiagnostic Radiology Physician$158K$160

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vhs Acquisition Subsidiary Number 7 IncMAGeneral Acute Care Hospital$0$67.7M
    Centro Las AmericasMACommunity Health Worker$0$43.7M
    Worcester Adult Day Care CenterMAAdult Day Care Clinic/Center$0$15.5M
    Center For Living And Working, IncMAHome Health Agency$0$14.5M
    Secon Of New England LLCMAClinical Medical Laboratory$0$8.8M
    Arca Adult Day Health CenterMAAdult Day Care Clinic/Center$0$7.2M
    Saint Vincent Physician Services, Inc.MAFamily Medicine Physician$0$6.1M
    Laboratory Corporation Of America HoldingsMAClinical Medical Laboratory$56.5K$3.2M
    Imaging Consultants IncMARadiology Clinic/Center$423.5K$658.5K
    Tony SamahaMAHematology & Oncology Physician$813.5K$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Joshua Russell — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Joshua Russell — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts