NEVVI Medicare utilization intelligence

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TELLICA IMAGING LLC

PAC 3577950765 Physician group
DIAGNOSTIC RADIOLOGY · BOISE, ID · hospital-affiliated
Specialty DIAGNOSTIC RADIOLOGY — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in BOISE, ID
Scale 18 providers on the CMS registry roster
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (208) 417-5100 — 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 18Advanced-practice 0Other clinicians 0= 18 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 18 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)
1184626756 Asmar, Paul · member of 2 groups M.D. Diagnostic Radiology MurrayUT
1083143564 Berg, Brian · member of 2 groups MD Diagnostic Radiology Salt Lake CityUT
1770712879 Bress, Aaron · member of 2 groups DO Diagnostic Radiology MurrayUT
1245785492 Dyer, Spencer · member of 2 groups MD Diagnostic Radiology MurrayUT
1649214867 Greally, Robert · member of 2 groups MD Diagnostic Radiology MurrayUT
1770018301 Han, Tiffany · member of 2 groups M.D. Diagnostic Radiology MurrayUT
1659406288 Hanrahan, Christopher · member of 2 groups MD, PHD Diagnostic Radiology MurrayUT
1477593556 Henrie, John · member of 2 groups M.D. Diagnostic Radiology MurrayUT
1083654065 Johnson, Wendell · member of 2 groups M.D. Diagnostic Radiology MurrayUT
1033405485 Leake, Richard · member of 2 groups M.D. Diagnostic Radiology Salt Lake CityUT
1285169714 Mathieu, Jeannette · member of 3 groups M.D. Diagnostic Radiology San FranciscoCA
1942663562 Mcclellan, Taylor · member of 2 groups M.D. Diagnostic Radiology DurhamNC
1518128552 Mclean, Logan · member of 2 groups MD Diagnostic Radiology MurrayUT
1033613880 Ouyang, Wei Lin · member of 2 groups MD Diagnostic Radiology Salt Lake CityUT
1386986917 Pigman, Elaine · member of 4 groups M.D. Diagnostic Radiology AnchorageAK
1114119484 Webb, Heather · member of 2 groups M.D. Diagnostic Radiology SandyUT
1922093053 Wheeler, Michael · member of 2 groups MD Diagnostic Radiology MurrayUT
1255345823 Whitnah, Joseph · member of 2 groups M.D. Diagnostic Radiology New BerlinWI

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.