Physician
Radiological Physician Associates INC
Radiological Physician Associates INC was paid $11.04M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 17% of everything it billed.
33Billing provider infoRADIOLOGICAL PHYSICIAN ASSOCIATES INC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1811996960assigned 07/20/2005
33bProvider typeDiagnostic Radiology Physician
28Total paid$11.04M
24GClaims622,769
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in West Virginia
Rank by total paid#1 of 33
Median peer was paid$15K
This provider vs. median751×
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 | 69,848 | $1.80M | |
| 2019 | 43,161 | $873K | |
| 2020 | 74,829 | $1.80M | |
| 2021 | 88,081 | $1.05M | |
| 2022 | 127,679 | $1.95M | |
| 2023 | 117,319 | $1.90M | |
| 2024incomplete | 101,852 | $1.68M |
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% | 28,817 | 26,953 | $1.89M |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 16% | 28,282 | 26,347 | $1.74M |
| 70450 | Computed tomography, head or brain; without contrast material | 9.0% | 35,600 | 32,888 | $990K |
| 71046 | Radiologic examination, chest; 2 views | 5.7% | 72,873 | 68,115 | $633K |
| 71045 | Radiologic examination, chest; single view | 5.3% | 112,573 | 95,556 | $580K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4.0% | 17,403 | 16,988 | $445K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 3.2% | 6,892 | 6,557 | $357K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 2.3% | 5,915 | 5,671 | $259K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 2.1% | 11,370 | 10,723 | $235K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.8% | 10,882 | 10,649 | $199K |
| 71250 | 1.7% | 6,234 | 5,866 | $190K | |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.5% | 5,394 | 5,170 | $167K |
132 more codes
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.5% | 7,079 | $163K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 1.4% | 3,531 | $153K |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 1.0% | 24,700 | $116K |
| 76830 | Ultrasound, transvaginal | 1.0% | 5,307 | $114K |
| 73630 | <1% | 16,439 | $100K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 2,488 | $98K |
| 76642 | <1% | 4,228 | $96K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 1,358 | $91K |
| 74018 | <1% | 13,618 | $90K | |
| 73564 | <1% | 10,251 | $85K | |
| 73030 | <1% | 11,817 | $79K | |
| 73610 | <1% | 12,512 | $77K | |
| 72110 | <1% | 7,956 | $75K | |
| 73130 | <1% | 11,088 | $72K | |
| 76536 | <1% | 4,044 | $71K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 2,392 | $69K |
| 70496 | <1% | 1,332 | $67K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 2,965 | $66K |
| 70498 | <1% | 1,263 | $63K | |
| 72141 | <1% | 1,381 | $59K | |
| 74178 | <1% | 1,005 | $58K | |
| 76882 | <1% | 3,448 | $55K | |
| 73110 | <1% | 9,119 | $54K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 1,236 | $53K |
| 70486 | <1% | 2,156 | $53K | |
| 74022 | <1% | 4,651 | $52K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 1,691 | $43K |
| 73502 | <1% | 5,924 | $43K | |
| 74019 | <1% | 5,660 | $42K | |
| 73221 | <1% | 1,054 | $42K | |
| 72131 | <1% | 1,444 | $42K | |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | <1% | 12,115 | $41K |
| 76770 | <1% | 1,734 | $41K | |
| 70491 | <1% | 948 | $38K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,698 | $37K |
| 77066 | Tomosynthesis, mammo | <1% | 1,184 | $36K |
| 77065 | Tomosynthesis, mammo | <1% | 1,482 | $36K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,963 | $36K |
| 72100 | <1% | 4,640 | $32K | |
| 73562 | <1% | 5,490 | $30K | |
| G9557 | Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found | <1% | 3,713 | $30K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 678 | $28K |
| 71271 | <1% | 922 | $27K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 398 | $27K |
| 74183 | <1% | 397 | $25K | |
| 76775 | <1% | 1,493 | $25K | |
| 76870 | <1% | 1,291 | $24K | |
| 73700 | <1% | 800 | $23K | |
| 74150 | <1% | 603 | $23K | |
| 72050 | <1% | 2,827 | $23K | |
| 78227 | <1% | 866 | $22K | |
| 73560 | <1% | 3,818 | $19K | |
| 73590 | <1% | 4,065 | $19K | |
| 72146 | <1% | 388 | $17K | |
| 72158 | <1% | 237 | $16K | |
| 73522 | <1% | 1,795 | $16K | |
| 73080 | <1% | 2,922 | $15K | |
| 73620 | <1% | 3,095 | $15K | |
| 73090 | <1% | 3,044 | $14K | |
| 93971 | <1% | 1,058 | $14K | |
| 73120 | <1% | 2,629 | $14K | |
| 76857 | <1% | 792 | $11K | |
| 72040 | <1% | 1,659 | $11K | |
| 76801 | <1% | 439 | $11K | |
| 73140 | <1% | 2,716 | $11K | |
| 71101 | <1% | 1,351 | $11K | |
| 72072 | <1% | 1,534 | $10K | |
| 74174 | <1% | 151 | $10K | |
| 73600 | <1% | 1,738 | $9K | |
| G9638 | Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | <1% | 851 | $9K |
| 64483 | <1% | 89 | $8K | |
| 77080 | <1% | 1,318 | $8K | |
| 78454 | <1% | 179 | $7K | |
| 72128 | <1% | 248 | $7K | |
| 78264 | <1% | 295 | $7K | |
| 73100 | <1% | 1,312 | $7K | |
| 93880 | <1% | 263 | $6K | |
| 73060 | <1% | 1,226 | $6K | |
| 73070 | <1% | 1,138 | $6K | |
| 72170 | <1% | 1,053 | $6K | |
| 73552 | <1% | 1,051 | $6K | |
| 73718 | <1% | 147 | $6K | |
| 64484 | <1% | 73 | $4K | |
| 72084 | <1% | 344 | $4K | |
| 72074 | <1% | 574 | $4K | |
| 72192 | <1% | 131 | $4K | |
| 72070 | <1% | 690 | $4K | |
| 73000 | <1% | 778 | $4K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 341 | $4K |
| 73200 | <1% | 132 | $4K | |
| 72156 | <1% | 53 | $4K | |
| 74021 | <1% | 422 | $3K | |
| 78226 | <1% | 168 | $3K | |
| 72202 | <1% | 403 | $3K | |
| 70360 | <1% | 484 | $3K | |
| 7025F | <1% | 1,018 | $3K | |
| 93970 | <1% | 131 | $3K | |
| 72220 | <1% | 430 | $2K | |
| 70487 | <1% | 69 | $2K | |
| 73701 | <1% | 57 | $2K | |
| 70490 | <1% | 54 | $2K | |
| 75635 | <1% | 25 | $2K | |
| 73020 | <1% | 367 | $2K | |
| 78306 | <1% | 67 | $2K | |
| 74246 | <1% | 58 | $2K | |
| 73660 | <1% | 341 | $1K | |
| 72114 | <1% | 96 | $1K | |
| 72157 | <1% | 17 | $1K | |
| 72195 | <1% | 26 | $1K | |
| 70470 | <1% | 30 | $1K | |
| 72052 | <1% | 116 | $994.39 | |
| 71100 | <1% | 149 | $956.50 | |
| 73523 | <1% | 101 | $929.15 | |
| 75574 | <1% | 13 | $925.41 | |
| 3341F | <1% | 397 | $813.90 | |
| 72082 | <1% | 73 | $713.58 | |
| 74221 | <1% | 27 | $497.05 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $412.10 |
| 74240 | <1% | 17 | $411.00 | |
| 72193 | <1% | 12 | $399.37 | |
| 74220 | <1% | 15 | $289.68 | |
| 71111 | <1% | 27 | $264.68 | |
| 70160 | <1% | 55 | $258.53 | |
| 76376 | <1% | 27 | $239.83 | |
| 70220 | <1% | 29 | $162.92 | |
| 77081 | <1% | 12 | $73.03 | |
| 70210 | <1% | 13 | $56.64 | |
| 74300 | <1% | 13 | $50.79 | |
| 77062 | 0% | 588 | $0.00 | |
| 3342F | 0% | 40 | $0.00 | |
| 77061 | 0% | 381 | $0.00 | |
| G1010 | Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program | 0% | 57 | $0.00 |
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 officialLEON, JOHN (PRESIDENT)