NEVVI Medicare utilization intelligence

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Group profile

Provider group

Group overview · all codes · CY2024

42
Clinicians · 2024
Clinician makeup · CY2024
Physicians 42Advanced-practice 0Other clinicians 0
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.
Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1740470855 Alijani, Ata · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1932112331 Bakken, Hans · member of 9 groups M.D. Diagnostic Radiology TacomaWA premium
1952693996 Batson, Jacob · member of 5 groups M.D. Diagnostic Radiology TacomaWA premium
1144480245 Boldt, Brian · member of 3 groups D.O. Diagnostic Radiology TacomaWA premium
1386818516 Brezak, Robert · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1205095460 Cardinal, Jeremy · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1780902841 Childress, John · member of 9 groups M.D. Diagnostic Radiology WyomingMI premium
1063906527 Clement, Desiree · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1518193234 Dedekam, Erik · member of 4 groups M.D. Diagnostic Radiology TacomaWA premium
1538123047 Dobbins, Jill · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1487018578 Gaddam, Durga Sivacharan · member of 10 groups Diagnostic Radiology TacomaWA premium
1235330754 Hartz, Douglas · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1619395100 Jacob, Sandhya · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1104269760 Jeyakumar, Thanuja · member of 3 groups M.D Diagnostic Radiology ParmaOH premium
1497013486 Kapalczynski, Wojciech · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1538266408 Kell, Jonathan · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1083889919 Kim, John · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1619126075 Krause, Nicholas · member of 3 groups M.D. Diagnostic Radiology TacomaWA premium
1285171405 Kristenson, Scott · member of 4 groups M.D Diagnostic Radiology Fort Sam HoustonTX premium
1124524087 Lacey, Marcus · member of 3 groups Diagnostic Radiology SeattleWA premium
1013277821 Le, Thang · member of 6 groups M.D. Diagnostic Radiology SeattleWA premium
1396794350 Lindstrom, Eric · member of 3 groups M.D. Diagnostic Radiology YakimaWA premium
1275853566 Mccammack, Kevin · member of 11 groups M.D. Diagnostic Radiology CharlotteNC premium
1851824346 Mcphee, Jacob · member of 3 groups M.D. Diagnostic Radiology TacomaWA premium
1184990111 Mills, Ryan · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1659639557 Moore, Ryan · member of 7 groups M.D. Diagnostic Radiology SalemOR premium
1699118034 Nguyen, Andrew · member of 4 groups MD Diagnostic Radiology LynnwoodWA premium
1164982872 O'connor, Gregory · member of 4 groups Diagnostic Radiology DurhamNC premium
1871619122 Park, Lawrence · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1346696028 Rothman, Richard · member of 14 groups MD Diagnostic Radiology CharlotteNC premium
1861447898 Sam, Joseph · member of 2 groups M.D. Diagnostic Radiology TacomaWA premium
1922062207 Shigemitsu, Helen · member of 3 groups M.D. Diagnostic Radiology PuyallupWA premium
1598746232 Song, Joon · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1679549166 Stillerman, Ronald · member of 3 groups DO Diagnostic Radiology TulsaOK premium
1881610418 Suresh, Anand · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1093728792 Tang, Lawrence · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1164955571 Walker, Zachary · member of 3 groups MD Diagnostic Radiology San FranciscoCA premium
1497866081 Walker, Scott · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1306045877 Waters, Justin · member of 3 groups MD Diagnostic Radiology TacomaWA premium
1952837874 Wells, Michael · member of 3 groups M.D. Diagnostic Radiology TacomaWA premium
1962474163 Wesolowski, Jeffrey · member of 3 groups MD, MHSA Diagnostic Radiology Ann ArborMI premium
1427177120 Zima, Aaron · member of 3 groups M.D. Diagnostic Radiology TacomaWA 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.