Umass Memorial Radiology Phys Serv

Umass Memorial Radiology Phys Serv was paid $4.25M by Medicaid between Jan 2018 and Sep 2023, across 92 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 24% of everything it billed.

33Billing provider infoUMASS MEMORIAL RADIOLOGY PHYS SERV
WORCESTER, MA 01655

33aNPI1639122096assigned 05/18/2006

33bProvider typeDiagnostic Radiology Physician

28Total paid$4.25M

24GClaims302,898

24DCodes billed92

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Diagnostic Radiology Physician providers in Massachusetts

Rank by total paid#3 of 427

Median peer was paid$3K

This provider vs. median1,419×

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	83,699	$1.12M
2019	99,311	$1.35M
2020	83,173	$1.20M
2021	31,239	$494K
2022	3,229	$47K
2023	2,247	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
74177	Computed tomography, abdomen and pelvis; with contrast material	24%	22,282	22,145	$1.02M
70450	Computed tomography, head or brain; without contrast material	9.3%	21,245	20,800	$395K
77067	Screening mammography, bilateral, including computer-aided detection	9.0%	16,747	16,702	$382K
71046	Radiologic examination, chest; 2 views	7.3%	52,675	51,583	$310K
71045	Radiologic examination, chest; single view	5.8%	57,464	41,836	$248K
71260	Computed tomography, thorax, diagnostic; with contrast material	5.4%	8,525	8,448	$231K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	5.2%	3,834	3,811	$222K
72125	Computed tomography, cervical spine; without contrast material	2.1%	3,952	3,918	$88K
70551	Magnetic resonance imaging, brain; without contrast material	2.0%	2,496	2,476	$84K
77063	Screening digital breast tomosynthesis, bilateral	1.8%	5,657	5,643	$75K
71250		1.7%	3,901	3,873	$72K
76770		1.5%	3,101	3,089	$65K

80 more codes

76705	Ultrasound, abdominal, real time with image documentation; limited	1.5%	4,181	$64K
76642		1.5%	3,177	$62K
76376		1.3%	13,446	$54K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	1.3%	1,561	$54K
74176	Computed tomography, abdomen and pelvis; without contrast material	1.1%	1,512	$48K
70496		<1%	1,140	$40K
73630		<1%	7,966	$39K
93975		<1%	1,092	$36K
73610		<1%	6,678	$35K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	1,197	$34K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	918	$33K
70498		<1%	900	$32K
73564		<1%	4,988	$31K
78815	Positron emission tomography (PET) for limited area imaging	<1%	731	$30K
74183		<1%	622	$29K
73130		<1%	4,570	$26K
72141		<1%	730	$25K
73030		<1%	4,730	$23K
74018		<1%	4,697	$22K
73110		<1%	3,637	$21K
76830	Ultrasound, transvaginal	<1%	839	$20K
74019		<1%	2,441	$20K
72100		<1%	3,572	$20K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	1,079	$17K
77065	Tomosynthesis, mammo	<1%	852	$16K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	993	$16K
71275	Computed tomographic angiography, chest, with contrast material	<1%	393	$14K
77066	Tomosynthesis, mammo	<1%	550	$14K
93016		<1%	1,666	$14K
73502		<1%	2,748	$13K
73221		<1%	345	$12K
76536		<1%	770	$11K
93018		<1%	1,668	$9K
71271		<1%	356	$9K
36573		<1%	197	$8K
G0297	Low dose ct scan (ldct) for lung cancer screening	<1%	495	$8K
74230		<1%	848	$8K
72131		<1%	312	$6K
77080		<1%	2,233	$6K
78451		<1%	212	$5K
73560		<1%	2,345	$5K
36569		<1%	108	$4K
73590		<1%	801	$4K
72050		<1%	408	$4K
73090		<1%	524	$3K
73140		<1%	727	$3K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	105	$3K
72110		<1%	347	$3K
72128		<1%	122	$3K
72197		<1%	38	$2K
76937		<1%	293	$2K
77062		<1%	127	$2K
36224		<1%	12	$2K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	75	$2K
99152		<1%	995	$2K
72158		<1%	24	$2K
74022		<1%	267	$2K
72081		<1%	170	$2K
73080		<1%	306	$2K
78306		<1%	109	$2K
73562		<1%	399	$2K
73552		<1%	350	$1K
72082		<1%	114	$1K
72040		<1%	231	$1K
76885		<1%	34	$983.96
74178		<1%	27	$968.65
77072		<1%	129	$943.36
71101		<1%	108	$773.34
72070		<1%	81	$511.10
77001		<1%	52	$475.28
77061		<1%	40	$406.64
73070		<1%	61	$375.52
78264		<1%	18	$340.20
99153	Mod sedat endo service >5yrs	<1%	290	$337.32
76506		<1%	12	$299.40
70491		<1%	13	$286.89
70486		<1%	12	$247.29
72170		<1%	51	$241.75
93971		<1%	27	$219.33
73060		<1%	25	$133.35

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 officialSTREETER, MICHELE (VICE PRESIDENT, FINANCE)