Loading...
NPI 1992780050 · Carbondale, IL · Diagnostic Radiology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Douglas Fulk is a diagnostic radiology physician provider located in Carbondale, Illinois. This profile covers 13 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Douglas Fulk |
| Address | 1200 Cedar Ct |
| City | Carbondale |
| State | IL |
| ZIP | 62901 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | December 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $347.6K |
| Medicare | $8.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 100 | $30 | $2.5K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 80 | $30 | $2.3K |
| 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. | 20 | $60 | $1.4K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 40 | $20 | $810 |
| 76700 | An 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… | 20 | $30 | $450 |
| 76705 | An 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… | 20 | $20 | $330 |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 30 | $10 | $230 |
| 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… | 30 | $10 | $210 |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 20 | $10 | $120 |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 20 | $10 | $110 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 74176 | 839 | 950 | 80 | $70 | $6.3K |
| 76770 | 101 | 800 | 40 | $40 | $2.1K |
| 71046 | 1,172 | 1,490 | 100 | $10 | $2.1K |
| 76700 | 234 | 350 | 20 | $50 | $1.9K |
| 73562 | 931 | 1,110 | 50 | $20 | $1.6K |
| 76830 | 82 | 400 | 20 | $60 | $1.6K |
| 73502 | 1,282 | 1,390 | 50 | $20 | $1.5K |
| 73630 | 1,150 | 1,400 | 50 | $20 | $1.4K |
| 76705 | 763 | 850 | 40 | $30 | $1.4K |
| 73030 | 1,304 | 1,420 | 50 | $20 | $1.2K |
Showing 1–10 of 13
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 2,600 | $30 | $75.3K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 2,150 | $30 | $73.2K |
| 76817 | The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach. | 2,100 | $30 | $62.9K |
| 76815 | The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses. | 1,530 | $30 | $48.9K |
| 76805 | In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks… | 1,480 | $30 | $47.4K |
| 76819 | The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test. | 1,250 | $20 | $26.2K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 50 | $210 | $9.5K |
| 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… | 120 | $20 | $1.9K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 40 | $20 | $810 |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 30 | $30 | $750 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 43 | 320 | 290 | $50 | $48K |
| 76819 | The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test. | 30 | 140 | 190 | $30 | $33.7K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 81 | 160 | 50 | $90 | $17.2K |
| 76805 | In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks… | 20 | 320 | 100 | $50 | $17K |
| 76815 | The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses. | 25 | 480 | 110 | $40 | $15.4K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 11 | 530 | 80 | $50 | $13.8K |
| 76817 | The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach. | 14 | 380 | 90 | $30 | $13.6K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 303 | 430 | 60 | $40 | $9.7K |
| 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… | 1,093 | 1,410 | 610 | $10 | $8.4K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 242 | 410 | 60 | $10 | $2.8K |
Other providers in the same ZIP code as Douglas Fulk, ranked by combined Medicare and Medicaid revenue.
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.