Physician
Pikeville Radiology PLLC
Pikeville Radiology PLLC was paid $3.15M by Medicaid between Jan 2018 and Oct 2023, across 56 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 17% of everything it billed.
33Billing provider infoPIKEVILLE RADIOLOGY PLLC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1255449021assigned 08/29/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$3.15M
24GClaims232,648
24DCodes billed56
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Diagnostic Radiology Physician providers in Kentucky
Rank by total paid#3 of 84
Median peer was paid$25K
This provider vs. median124×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 51,680 | $864K | |
| 2019 | 41,040 | $498K | |
| 2020 | 38,289 | $519K | |
| 2021 | 42,271 | $504K | |
| 2022 | 33,857 | $430K | |
| 2023 | 25,511 | $336K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 17% | 9,719 | 8,678 | $532K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 14% | 9,709 | 8,602 | $453K |
| 71045 | Radiologic examination, chest; single view | 14% | 93,641 | 56,661 | $427K |
| 70450 | Computed tomography, head or brain; without contrast material | 8.1% | 11,855 | 10,154 | $256K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 6.9% | 3,412 | 2,985 | $217K |
| 71250 | 5.1% | 5,917 | 5,164 | $160K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.6% | 5,021 | 4,690 | $115K |
| 71046 | Radiologic examination, chest; 2 views | 3.5% | 16,772 | 15,127 | $109K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 2.7% | 2,690 | 2,376 | $86K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 2.5% | 1,955 | 1,758 | $79K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 2.2% | 3,967 | 3,690 | $70K |
| 72131 | 2.2% | 2,126 | 1,894 | $70K |
44 more codes
| 72125 | Computed tomography, cervical spine; without contrast material | 1.8% | 1,906 | $58K |
| 73630 | 1.8% | 10,259 | $57K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 1.1% | 2,000 | $36K |
| 73560 | 1.1% | 7,472 | $36K | |
| 73610 | 1.1% | 6,053 | $34K | |
| 73030 | <1% | 5,728 | $29K | |
| 76536 | <1% | 1,739 | $29K | |
| 74018 | <1% | 5,529 | $28K | |
| 76770 | <1% | 1,187 | $24K | |
| 73130 | <1% | 4,147 | $24K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 1,543 | $23K |
| 72128 | <1% | 672 | $23K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 935 | $22K |
| 73502 | <1% | 4,935 | $22K | |
| 93971 | <1% | 1,265 | $17K | |
| 73562 | <1% | 2,721 | $15K | |
| 77066 | Tomosynthesis, mammo | <1% | 457 | $13K |
| 73110 | <1% | 2,342 | $13K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 333 | $12K |
| 74178 | <1% | 242 | $10K | |
| 76642 | <1% | 477 | $10K | |
| 72100 | <1% | 1,386 | $9K | |
| 72141 | <1% | 185 | $8K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 86 | $4K |
| 72170 | <1% | 761 | $4K | |
| 93970 | <1% | 140 | $3K | |
| 73221 | <1% | 78 | $3K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 96 | $3K |
| 73590 | <1% | 445 | $2K | |
| 77065 | Tomosynthesis, mammo | <1% | 116 | $2K |
| 93880 | <1% | 107 | $1K | |
| 71270 | <1% | 33 | $1K | |
| 73090 | <1% | 103 | $532.32 | |
| 74022 | <1% | 54 | $476.88 | |
| 73552 | <1% | 86 | $393.77 | |
| 73700 | <1% | 17 | $351.99 | |
| 73080 | <1% | 57 | $347.56 | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 12 | $334.68 |
| 72040 | <1% | 32 | $185.15 | |
| 77080 | <1% | 40 | $185.04 | |
| 73120 | <1% | 35 | $177.17 | |
| 73100 | <1% | 26 | $151.26 | |
| 72070 | <1% | 12 | $95.92 | |
| 73060 | <1% | 15 | $86.61 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPOULOS, ALEXANDER (MEMBER)