NEVVI Medicare utilization intelligence

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WHITE MOUNTAIN RADIOLOGY

PAC 2365429123 Physician group
DIAGNOSTIC RADIOLOGY · SHOW LOW, AZ · hospital-affiliated
Specialty DIAGNOSTIC RADIOLOGY — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in SHOW LOW, AZ
Scale 32 providers on the CMS registry roster
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (928) 537-4375 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 31Advanced-practice 0Other clinicians 0= 31 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 31 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.
Medicare Part B FFS · CY2024 · as published by CMS
Data year: CY2024 CY2023 CY2022  CY2021  CY2020 

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes)
1144329848 Amesur, Sandeep · member of 29 groups M.D. Diagnostic Radiology HoustonTX
1154311694 Aquino, Suzanne · member of 25 groups MD Diagnostic Radiology HonoluluHI
1538587365 Bailey, Mark · member of 4 groups MD Diagnostic Radiology PhoenixAZ
1033193941 Baker, Daniel · member of 22 groups M.D. Diagnostic Radiology New AlbanyOH
1225076219 Bass, David · member of 34 groups MD Diagnostic Radiology WellingtonFL
1629031299 Belle, Troy · member of 29 groups MD Diagnostic Radiology DenverCO
1386688851 Berger, Robert · member of 25 groups M.D. Diagnostic Radiology ClaytonGA
1447380977 Berges, Grant · member of 5 groups MD Diagnostic Radiology Show LowAZ
1871816694 Berven, Michael · member of 24 groups M.D. Diagnostic Radiology BothellWA
1164484721 Boardman, John · member of 24 groups MD Diagnostic Radiology BeloitWI
1457313413 Brull, James · member of 28 groups DO Diagnostic Radiology HaysKS
1043298417 Burton, Dennis · member of 44 groups M.D. Diagnostic Radiology Palm CityFL
1952363913 Cavin, Lillian · member of 22 groups MD Diagnostic Radiology SpicewoodTX
1437456589 Coleman, Benjamin · member of 4 groups D.O. Interventional Radiology TucsonAZ
1639111966 Defriez, Stephen · member of 22 groups D.O. Diagnostic Radiology FlintMI
1659394013 Dubovsky, Elizabeth · member of 20 groups M.D. Diagnostic Radiology MiddleburgVA
1649278904 Edgar, Kenneth · member of 21 groups MD Diagnostic Radiology HudsonOH
1972583797 Giles, Kenneth · member of 2 groups MD Diagnostic Radiology Show LowAZ
1417940420 Harris, Kristie · member of 15 groups D.O. Diagnostic Radiology Dripping SpringsTX
1275875973 Haug, James · member of 26 groups D.O Diagnostic Radiology Colorado SpringsCO
1679809537 Itkin, Alan · member of 26 groups M.D. Diagnostic Radiology KnoxvilleTN
1003841875 Malik, Noman · member of 22 groups M.D. Diagnostic Radiology MoultrieGA
1477905545 Matheson, Lincoln · member of 4 groups MD Diagnostic Radiology Show LowAZ
1689808693 Nunez, Willie · member of 6 groups M.D. Diagnostic Radiology AlbuquerqueNM
1588729966 Pace, William · member of 27 groups MD Diagnostic Radiology PlattsburghNY
1043469992 Pilika, Asti · member of 15 groups M.D. Diagnostic Radiology KailuaHI
1588688782 Shah, Shree · member of 27 groups MD Diagnostic Radiology SarasotaFL
1902034663 Siddiqui, Masood · member of 26 groups DO Diagnostic Radiology NorthvilleMI
1720072697 Smoot, Sanford · member of 27 groups MD Diagnostic Radiology LexingtonMA
1609180306 Uddin, Qazi · member of 18 groups MD Diagnostic Radiology LeesburgVA
1255533857 Vogel, Alexander · member of 27 groups M.D. Diagnostic Radiology RenoNV

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.