NEVVI Medicare utilization intelligence

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WEISER VALLEY HOSPITAL DISTRICT

PAC 5294704276 Provider 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 · bills Medicare in 3 states (GA, ID, WA)
Scale 54 providers on the CMS registry roster · 40 codes billed (five-year data window)
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (208) 549-0370 — 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 37Advanced-practice 0Other clinicians 0= 37 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 37 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

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1679500557 Ball, Shane · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1730597758 Berg, Zachary · member of 2 groups M.D. Diagnostic Radiology Salt Lake CityUT premium
1508816471 Boyce, Cody · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1851335509 Carr, Sean · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1356665285 Cheng, Stephanie · member of 2 groups MD Diagnostic Radiology BoiseID premium
1154396034 Cohen, Yariv · member of 6 groups M.D. Diagnostic Radiology AnchorageAK premium
1720024094 Daniel, Elaine · member of 2 groups M.D. Diagnostic Radiology BoiseID premium
1336554740 De Gennaro, Geoffry · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1750323226 Demordaunt, Quinn · member of 2 groups M.D. Diagnostic Radiology BoiseID premium
1134155229 Fisher, Michael · member of 2 groups M.D. Diagnostic Radiology BoiseID premium
1588692289 Fuchs, Michael · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1427202373 Gasser, Tyler · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1114312816 Griffin, Alexander · member of 2 groups M.D. Diagnostic Radiology ChicagoIL premium
1275794935 Harris, Tyler · member of 3 groups MD Diagnostic Radiology BoiseID premium
1407219702 Jones, Jordan · member of 2 groups M.D. Diagnostic Radiology Salt Lake CityUT premium
1760974331 Khuong, Y-Lan · member of 5 groups MD Diagnostic Radiology DurhamNC premium
1346457298 Kirkham, John · member of 2 groups MD Diagnostic Radiology BoiseID premium
1598851396 Klipper, David · member of 3 groups DO Diagnostic Radiology PortlandOR premium
1669850590 Kotlyar, Timur · member of 8 groups M.D. Diagnostic Radiology TampaFL premium
1700076619 Lazzaro, Nicholas · member of 4 groups M.D. Diagnostic Radiology BoiseID premium
1124062799 Marx, Steven · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1295705002 Maxfield, Adam · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1043501273 Mcmahan, Brian · member of 2 groups M.D. Diagnostic Radiology BoiseID premium
1730441536 Morrissey, Benjamin · member of 3 groups MD Diagnostic Radiology BoiseID premium
1780878314 Mortensen, Wayne · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1578726683 Niederhauser, Blake · member of 2 groups MD Diagnostic Radiology BoiseID premium
1740523513 Odom, Carl · member of 2 groups MD Diagnostic Radiology BoiseID premium
1083842033 Peterson, Andrew · member of 3 groups M.D. Interventional Radiology BoiseID premium
1124133004 Pugsley, Jeffrey · member of 2 groups MD Diagnostic Radiology BoiseID premium
1477506350 Ririe, Daniel · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1316157332 Shochat, Einav · member of 3 groups MD Diagnostic Radiology BoiseID premium
1548502446 Shofner Michalsky, Whitney · member of 3 groups M.D Interventional Radiology BoiseID premium
1679036917 Snider, Jason · member of 3 groups Diagnostic Radiology DurhamNC premium
1760682066 Sonntag, Paul · member of 3 groups MD Diagnostic Radiology BoiseID premium
1093197279 Sturge, Caleb · member of 3 groups MD Diagnostic Radiology Salt Lake CityUT premium
1568406130 Waltz, John · member of 3 groups M.D. Diagnostic Radiology BoiseID premium
1679710123 Wright, Russell · member of 2 groups MD Diagnostic Radiology BoiseID premium

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.