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    OpenPayerNPI Medicare & MedicaidRonald Goodwich
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    Ronald Goodwich — Billing Profile & Reimbursement Data

    NPI 1992913941 · Tampa, FL · Nuclear Medicine Physician

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    Ronald Goodwich is a nuclear medicine physician provider located in Tampa, Florida. This profile covers 22 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRonald Goodwich
    Address3402 W Dr Martin Luther King Jr Blvd
    CityTampa
    StateFL
    ZIP33607
    TaxonomyNuclear Medicine Physician
    NPI EnumeratedMay 21, 2007

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

    Payer SourceTotal Paid
    Medicare$5.7M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: total Medicare revenue is $5.7M while there is no Medicaid billing on file. The absence of any Medicaid claims indicates Medicare is the dominant — effectively sole — public payer exposure for this NPI.

    Revenue is highly concentrated in a few nuclear‑medicine services: the precomputed top 3 Medicare codes account for 76.2% of this provider’s total Medicare revenue, driven by 78815 ($2.8M revenue, 49.5%), A9552 ($1M revenue, 18.4%), and 74177 ($468.5K revenue, 8.2%). This concentration implies that changes in utilization, reimbursement, or access for these specific studies would materially affect overall revenue.

    The code mix and descriptions identify a specialized PET/CT and radiopharmaceutical operation: 78815 (PET/CT fusion imaging), A9552 (Fluorodeoxyglucose f-18 doses), and related PET/CT codes such as 78816 and radiotracer codes A9595 and A9592 indicate the provider performs high volumes of diagnostic PET/CT studies and dispenses or bills for high‑value tracer doses. The prominence of CT anatomic studies (74177, 71260) alongside PET codes also suggests an integrated PET/CT imaging workflow rather than a general radiology-only practice.

    This provider is a national leader on multiple nuclear‑medicine codes: 78815 ranks #2 of 6566 providers nationally (100th percentile; extreme outlier) and A9552 ranks #1 of 2411 providers nationally (100th percentile; extreme outlier). Several additional codes (78816, 71260, A9592) also rank at or near the top nationally (100th percentile or #1), which characterizes the practice as a dominant/high‑volume center for PET/CT and tracer services rather than a modest local participant.

    Multiple individual codes are statistical outliers in national benchmarks: several entries are labeled extreme outlier or notably above typical national volume (for example, 78816 is a 100th percentile extreme outlier and 74177 is a 100th percentile extreme outlier). A few other billed services fall into more typical ranges (for example, 71275 at the 30th percentile), indicating most volume concentration is tightly focused on a small set of high‑value nuclear medicine and CT codes.

    One anomalous billing pattern worth flagging operationally is Q9967: 256.5K claims with $0 revenue, ranked #3 of 11759 providers nationally (100th percentile; extreme outlier). The very large claim count coupled with zero reported Medicare revenue is atypical in scale and should be reviewed in the context of contractual bundling, pass‑through supply billing practices, or claims processing conventions rather than taken as a revenue source itself.

    The provider’s NPI tenure is long-standing: enumerated 2007-05-21 (~19 years ago), indicating sustained presence in the Medicare billing stream and likely established referral relationships and clinical workflows for PET/CT services. That longevity, combined with the concentration in specialized imaging, supports a stable operational profile rather than a new entrant with transient volume spikes.

    For payer strategy and network contracting, this profile signals that oversight and negotiation should focus on high‑impact PET/CT items and radiopharmaceutical utilization: the top revenue drivers (78815, A9552, 74177) comprise the majority of Medicare income and are where utilization management, prior authorization, or site‑of‑service considerations will have the largest financial effect. Given the provider’s national‑level ranks on these codes, payers should treat this entity as a major regional/national provider of PET/CT services when modeling volumes, capacity, and reimbursement impacts.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.…2,360$1,190$2.8M
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries2,610$400$1M
    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.1,940$240$468.5K
    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…350$1,210$425.7K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie630$470$299.6K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.2,240$90$206.1K
    A9592Copper cu-64, dotatate, diagnostic, 1 millicurie110$1,410$157.9K
    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.550$140$79.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.780$80$62.9K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…150$270$41.7K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9595940300$460$180.3K
    78815137070$740$121.8K
    A959211080$1,370$107.9K
    A9552125070$390$56.4K
    78816112040$660$42.3K
    7417721,480100$100$14.4K
    7417691,51080$80$8.6K
    704501,1991,380190$30$8.6K
    71250211,51080$60$8.3K
    741782183030$190$8.3K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$97.7M
    Florida Cancer Specialists & Research Institute, LLCFLMedical Oncology Physician$0$63.5M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Lee Memorial Health SystemFLInternal Medicine Physician$0$15.1M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$11.1M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    Christopher LoboFLMedical Oncology Physician$6.1M$0
    Syed ZafarFLMedical Oncology Physician$6M$0
    Steven NewmanFLMedical Oncology Physician$5.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of AmericaFLClinical Medical Laboratory$47.4M$171.2M
    St. Joseph's Hospital, Inc.FLGeneral Acute Care Hospital$0$70.7M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$45.3M
    Cr & Ra Investments LLCFLHome Health Agency$0$37.4M
    Florida Woman Care, LLCFLObstetrics & Gynecology Physician$0$30.9M
    Emergency Medical Associates Of Tampa Bay, LLCFLEmergency Medicine Physician$0$25.1M
    PchpFLCase Manager/Care Coordinator$0$16.7M
    Women's Care Florida LLCFLObstetrics & Gynecology Physician$0$14.7M
    Care For America CorpFLHome Health Agency$0$11.3M
    Macdonald Traning Center, IncFLCommunity/Behavioral Health Agency$0$10.8M

    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. Florida Distribution
    Ronald Goodwich — 13 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida