Active NPI 1104872399 Individual Practitioner Male Practitioner

Dr. Daniel Edward Long , MD

Radiology - Diagnostic Radiology • Blue Ash, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Long, MD is a certified Radiology - Diagnostic Radiology practicing in Blue Ash, OH. With approximately 31 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1995, Dr. Long delivers high-quality medical care to the local community at 9825 KENWOOD RD.

Dr. Long is affiliated with Tristate Img (Imaging Medical Group) Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of chest, 1 view, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, ct scan head or brain without contrast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9825 Kenwood Rd
Suite 105

Blue Ash, OH 452426251

Telephone 5138724500

Fax 5138724518

Associated Practice Facility / Clinic

🏢 Professional Radiology Inc. Facility NPI 1043348014

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Blue Ash, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +3.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

32 Specialists

Practicing in Blue Ash, OH (1658 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Long (31 Years) 31 Yrs

Blue Ash Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	565	503	$41.00	$7.99
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	195	162	$31.00	$11.55
70450 Ct scan head or brain without contrast	181	180	$210.00	$37.36
71275 Ct scan of blood vessels of chest with contrast	138	138	$215.00	$80.07
74177 Ct scan of abdomen and pelvis with contrast	123	123	$221.00	$81.05
77080 Dxa bone density measurement of hip, pelvis, spine	121	121	$61.00	$8.88
74176 Ct scan of abdomen and pelvis without contrast	102	101	$211.00	$78.06
71046 X-ray of chest, 2 views	98	91	$61.00	$9.92
71046 X-ray of chest, 2 views	85	85	$61.00	$9.91
74018 X-ray of abdomen, 1 view	69	62	$29.00	$8.29
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	64	64	$262.00	$98.10
73560 X-ray of knee, 1-2 views	64	62	$20.00	$7.66
76937 Ultrasonic guidance for blood vessel access	62	59	$45.00	$13.19
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	58	55	$56.00	$17.04
73502 X-ray of hip, 2-3 views	57	57	$28.00	$10.21
72125 Ct scan of upper spine without contrast	56	56	$175.00	$44.25
77012 Review by radiologist of ct guidance for needle placement	55	53	$174.00	$65.58
71250 Ct scan of chest without contrast	52	51	$205.00	$47.39
70496 Ct scan of blood vessels of head with contrast	36	36	$251.00	$77.99
71260 Ct scan of chest with contrast	36	36	$220.00	$50.19
70498 Ct scan of blood vessels of neck with contrast	35	35	$251.00	$74.62
72148 MRI scan of lower spinal canal	29	29	$250.00	$66.72
71275 Ct scan of blood vessels of chest with contrast	26	26	$215.00	$79.23
74176 Ct scan of abdomen and pelvis without contrast	25	25	$211.00	$78.12
76770 Complete ultrasound scan behind abdominal cavity	24	24	$132.00	$33.07
74177 Ct scan of abdomen and pelvis with contrast	23	23	$221.00	$81.36
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$769.00	$312.77
72148 MRI scan of lower spinal canal	23	23	$250.00	$66.53
77080 Dxa bone density measurement of hip, pelvis, spine	23	23	$61.00	$8.90
77081 Dxa bone density measurement of forearm, finger, hand, or foot	22	22	$25.00	$8.87
76705 Limited ultrasound scan of abdomen	22	22	$110.00	$26.05
73030 X-ray of shoulder, minimum of 2 views	22	19	$34.00	$8.61
72131 CT scan of lower spine	22	22	$188.00	$43.37
70551 Mri scan of brain without contrast	21	21	$250.00	$65.76
71250 Ct scan of chest without contrast	21	21	$205.00	$47.62
73501 X-ray of hip with pelvis, 1 view	20	19	$24.00	$8.59
73562 X-ray of knee, 3 views	19	18	$24.00	$8.62
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	19	19	$628.00	$240.43
76770 Complete ultrasound scan behind abdominal cavity	18	18	$132.00	$33.32
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	18	$47.00	$19.94
72170 X-ray of pelvis, 1-2 views	18	18	$26.00	$7.99
38222 Biopsy and aspiration of bone marrow sample for diagnosis	18	18	$195.00	$70.54
71260 Ct scan of chest with contrast	17	17	$220.00	$50.11
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$49.00	$10.18
70486 CT scan of face	15	15	$177.00	$37.34
73630 X-ray of foot, minimum of 3 views	13	12	$40.00	$7.64
10005 Fine needle aspiration of first lesion using ultrasound guidance	12	12	$229.50	$66.31
76775 Limited ultrasound scan behind abdominal cavity	11	11	$89.00	$25.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	870	664	$41.00	$8.58
77080 Dxa bone density measurement of hip, pelvis, spine	296	295	$61.00	$9.24
70450 Ct scan head or brain without contrast	175	171	$210.00	$38.85
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	149	123	$31.00	$12.28
71275 Ct scan of blood vessels of chest with contrast	139	138	$215.00	$83.40
71046 X-ray of chest, 2 views	113	112	$61.00	$10.24
74176 Ct scan of abdomen and pelvis without contrast	99	95	$211.00	$81.57
73560 X-ray of knee, 1-2 views	90	87	$20.00	$7.91
71046 X-ray of chest, 2 views	85	85	$61.00	$10.24
74177 Ct scan of abdomen and pelvis with contrast	74	73	$221.00	$85.16
73502 X-ray of hip, 2-3 views	67	65	$28.00	$10.55
74018 X-ray of abdomen, 1 view	67	54	$29.00	$8.58
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	60	60	$262.00	$102.16
71250 Ct scan of chest without contrast	59	58	$205.00	$49.79
77080 Dxa bone density measurement of hip, pelvis, spine	59	59	$61.00	$9.24
71250 Ct scan of chest without contrast	54	54	$205.00	$50.37
72131 CT scan of lower spine	47	47	$188.00	$45.53
76937 Ultrasonic guidance for blood vessel access	45	42	$45.00	$14.01
72125 Ct scan of upper spine without contrast	43	43	$175.00	$46.06
73501 X-ray of hip with pelvis, 1 view	41	39	$24.00	$8.89
77012 Review by radiologist of ct guidance for needle placement	41	41	$174.00	$68.93
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	37	36	$56.00	$17.63
73562 X-ray of knee, 3 views	33	28	$24.00	$8.89
71275 Ct scan of blood vessels of chest with contrast	32	32	$215.00	$83.90
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$49.00	$10.55
71260 Ct scan of chest with contrast	25	25	$220.00	$52.83
74177 Ct scan of abdomen and pelvis with contrast	24	24	$221.00	$85.24
70498 Ct scan of blood vessels of neck with contrast	23	23	$251.00	$78.01
70496 Ct scan of blood vessels of head with contrast	23	23	$251.00	$81.55
71271 Low dose ct scan of chest for lung cancer screening	22	22	$130.00	$50.49
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	21	20	$262.00	$102.15
71260 Ct scan of chest with contrast	19	19	$220.00	$52.63
73562 X-ray of knee, 3 views	18	16	$24.00	$8.89
73630 X-ray of foot, minimum of 3 views	18	18	$40.00	$7.94
74230 Imaging for evaluation of swallowing function	18	17	$72.00	$25.14
70551 Mri scan of brain without contrast	17	17	$250.00	$68.15
74176 Ct scan of abdomen and pelvis without contrast	16	16	$211.00	$81.68
73030 X-ray of shoulder, minimum of 2 views	15	14	$34.00	$8.89
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$769.00	$323.62
10005 Fine needle aspiration of first lesion using ultrasound guidance	15	14	$223.00	$72.23
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	14	13	$628.00	$248.57
72170 X-ray of pelvis, 1-2 views	14	14	$26.00	$8.24
38222 Biopsy and aspiration of bone marrow sample for diagnosis	14	14	$195.00	$70.84
73130 X-ray of hand, minimum of 3 views	13	12	$35.00	$8.24
70486 CT scan of face	13	13	$177.00	$38.25
77081 Dxa bone density measurement of forearm, finger, hand, or foot	13	13	$25.00	$9.55
50200 Needle biopsy of kidney	11	11	$464.00	$122.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	804	612	$41.00	$8.80
77080 Dxa bone density measurement of hip, pelvis, spine	317	317	$61.00	$9.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	216	171	$31.00	$12.73
71046 X-ray of chest, 2 views	118	118	$61.00	$10.45
70450 Ct scan head or brain without contrast	115	114	$210.00	$39.75
71275 Ct scan of blood vessels of chest with contrast	100	100	$215.00	$84.75
77080 Dxa bone density measurement of hip, pelvis, spine	98	98	$61.00	$9.51
74176 Ct scan of abdomen and pelvis without contrast	78	74	$211.00	$82.76
76937 Ultrasonic guidance for blood vessel access	73	67	$45.00	$13.73
71046 X-ray of chest, 2 views	61	61	$61.00	$10.51
73560 X-ray of knee, 1-2 views	58	56	$20.00	$8.12
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	57	55	$56.00	$18.54
74177 Ct scan of abdomen and pelvis with contrast	56	53	$221.00	$86.59
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	55	55	$262.00	$104.41
74018 X-ray of abdomen, 1 view	54	50	$29.00	$8.83
73502 X-ray of hip, 2-3 views	52	50	$28.00	$10.84
71250 Ct scan of chest without contrast	45	45	$205.00	$50.88
73562 X-ray of knee, 3 views	38	29	$24.00	$9.14
72131 CT scan of lower spine	36	36	$188.00	$47.24
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$49.00	$10.82
77012 Review by radiologist of ct guidance for needle placement	32	31	$174.00	$70.60
73501 X-ray of hip with pelvis, 1 view	30	26	$24.00	$9.11
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	29	28	$628.00	$254.17
71260 Ct scan of chest with contrast	29	28	$220.00	$52.59
73030 X-ray of shoulder, minimum of 2 views	26	25	$34.00	$9.13
72125 Ct scan of upper spine without contrast	26	26	$175.00	$47.17
73562 X-ray of knee, 3 views	21	20	$24.00	$9.16
49083 Drainage of fluid from abdominal cavity using imaging guidance	20	20	$266.00	$105.37
10005 Fine needle aspiration of first lesion using ultrasound guidance	19	19	$223.00	$71.57
71275 Ct scan of blood vessels of chest with contrast	18	17	$215.00	$86.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$769.00	$324.56
73630 X-ray of foot, minimum of 3 views	17	12	$40.00	$8.17
32555 Aspiration of fluid from chest cavity using imaging guidance	17	16	$280.00	$109.63
49406 Drainage of fluid collection of abdominal cavity by tube using imaging guidance	15	15	$545.00	$186.84
72170 X-ray of pelvis, 1-2 views	13	13	$26.00	$8.45
72020 X-ray of spine, 1 view	12	12	$27.00	$7.81
76770 Complete ultrasound scan behind abdominal cavity	11	11	$132.00	$35.18
73630 X-ray of foot, minimum of 3 views	11	11	$40.00	$7.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	620	479	$41.00	$8.98
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	241	196	$31.00	$12.51
77080 Dxa bone density measurement of hip, pelvis, spine	211	211	$61.00	$9.75
70450 Ct scan head or brain without contrast	100	98	$210.00	$41.00
76937 Ultrasonic guidance for blood vessel access	95	87	$45.00	$13.96
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	92	82	$56.00	$18.85
74176 Ct scan of abdomen and pelvis without contrast	71	70	$211.00	$84.59
71275 Ct scan of blood vessels of chest with contrast	70	70	$215.00	$85.25
74018 X-ray of abdomen, 1 view	68	54	$29.00	$8.80
77080 Dxa bone density measurement of hip, pelvis, spine	63	63	$61.00	$9.75
71046 X-ray of chest, 2 views	54	53	$61.00	$10.75
71250 Ct scan of chest without contrast	48	47	$205.00	$52.20
76536 Ultrasound of head and neck	40	40	$100.00	$27.66
74177 Ct scan of abdomen and pelvis with contrast	40	40	$221.00	$89.01
71046 X-ray of chest, 2 views	36	36	$61.00	$10.75
77012 Review by radiologist of ct guidance for needle placement	36	36	$174.00	$72.32
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	35	35	$769.00	$339.06
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	35	33	$628.00	$251.09
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	32	32	$262.00	$104.47
73560 X-ray of knee, 1-2 views	26	25	$20.00	$8.30
73030 X-ray of shoulder, minimum of 2 views	24	23	$34.00	$9.32
73502 X-ray of hip, 2-3 views	23	22	$28.00	$11.07
73562 X-ray of knee, 3 views	21	20	$24.00	$9.32
71260 Ct scan of chest with contrast	20	20	$220.00	$55.35
71275 Ct scan of blood vessels of chest with contrast	18	18	$215.00	$87.81
10005 Fine needle aspiration of first lesion using ultrasound guidance	18	18	$223.00	$73.55
72125 Ct scan of upper spine without contrast	17	16	$175.00	$48.76
70496 Ct scan of blood vessels of head with contrast	15	15	$251.00	$82.27
72131 CT scan of lower spine	15	15	$188.00	$48.21
74177 Ct scan of abdomen and pelvis with contrast	15	15	$221.00	$89.12
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$49.00	$11.07
70498 Ct scan of blood vessels of neck with contrast	15	15	$251.00	$81.08
76770 Complete ultrasound scan behind abdominal cavity	14	14	$132.00	$36.02
73562 X-ray of knee, 3 views	14	12	$24.00	$9.33
49083 Drainage of fluid from abdominal cavity using imaging guidance	14	13	$266.00	$99.02
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	13	13	$606.00	$187.80
32555 Aspiration of fluid from chest cavity using imaging guidance	13	12	$280.00	$112.17
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	12	12	$262.00	$106.55
38222 Biopsy and aspiration of bone marrow sample for diagnosis	12	12	$195.00	$77.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	433	370	$41.00	$9.24
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	228	185	$31.00	$12.45
77080 Dxa bone density measurement of hip, pelvis, spine	158	158	$61.00	$10.00
76937 Ultrasonic guidance for blood vessel access	94	79	$45.00	$14.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	87	71	$56.00	$18.77
70450 Ct scan head or brain without contrast	64	63	$210.00	$42.34
71275 Ct scan of blood vessels of chest with contrast	64	64	$215.00	$90.50
77012 Review by radiologist of ct guidance for needle placement	51	49	$174.00	$74.91
77080 Dxa bone density measurement of hip, pelvis, spine	46	46	$61.00	$10.04
71046 X-ray of chest, 2 views	44	44	$61.00	$10.79
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	39	39	$628.00	$261.27
74018 X-ray of abdomen, 1 view	36	33	$29.00	$9.24
74176 Ct scan of abdomen and pelvis without contrast	35	35	$211.00	$87.86
76536 Ultrasound of head and neck	35	35	$100.00	$28.58
74177 Ct scan of abdomen and pelvis with contrast	26	26	$221.00	$92.36
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	26	26	$262.00	$110.71
10005 Fine needle aspiration of first lesion using ultrasound guidance	24	24	$223.00	$72.20
71250 Ct scan of chest without contrast	24	24	$205.00	$57.56
71046 X-ray of chest, 2 views	19	19	$61.00	$11.03
73560 X-ray of knee, 1-2 views	19	17	$20.00	$8.49
38222 Biopsy and aspiration of bone marrow sample for diagnosis	18	17	$195.00	$79.42
32555 Aspiration of fluid from chest cavity using imaging guidance	18	18	$280.00	$114.52
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$769.00	$343.08
76705 Limited ultrasound scan of abdomen	17	17	$110.00	$29.39
72131 CT scan of lower spine	15	15	$188.00	$49.70
72125 Ct scan of upper spine without contrast	15	15	$175.00	$50.28
32405 Needle biopsy of lung or chest tissue, accessed through the skin	13	13	$375.00	$81.19
50200 Needle biopsy of kidney	11	11	$464.00	$132.11
76770 Complete ultrasound scan behind abdominal cavity	11	11	$132.00	$37.15
73502 X-ray of hip, 2-3 views	11	11	$28.00	$10.49
71260 Ct scan of chest with contrast	11	11	$220.00	$60.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	359	331	$41.00	$9.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	253	199	$31.00	$12.34
70450 Ct scan head or brain without contrast	120	119	$210.00	$41.99
76937 Ultrasonic guidance for blood vessel access	117	102	$45.00	$14.36
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	116	96	$56.00	$18.69
77080 Dxa bone density measurement of hip, pelvis, spine	101	101	$61.00	$9.84
71046 X-ray of chest, 2 views	100	99	$61.00	$10.89
71275 Ct scan of blood vessels of chest with contrast	53	53	$215.00	$90.15
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	53	50	$628.00	$261.48
74177 Ct scan of abdomen and pelvis with contrast	50	49	$221.00	$91.32
74176 Ct scan of abdomen and pelvis without contrast	49	49	$211.00	$87.04
77080 Dxa bone density measurement of hip, pelvis, spine	37	37	$61.00	$9.84
77012 Review by radiologist of ct guidance for needle placement	36	36	$174.00	$73.94
71250 Ct scan of chest without contrast	28	28	$205.00	$55.71
74018 X-ray of abdomen, 1 view	27	25	$29.00	$8.96
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	25	17	$267.00	$86.58
71046 X-ray of chest, 2 views	25	25	$61.00	$10.89
73502 X-ray of hip, 2-3 views	24	23	$28.00	$11.24
72125 Ct scan of upper spine without contrast	21	21	$175.00	$53.08
73630 X-ray of foot, minimum of 3 views	21	19	$40.00	$8.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$769.00	$341.14
73562 X-ray of knee, 3 views	18	16	$24.00	$9.47
73030 X-ray of shoulder, minimum of 2 views	17	14	$34.00	$9.47
32555 Aspiration of fluid from chest cavity using imaging guidance	16	16	$280.00	$113.46
71260 Ct scan of chest with contrast	16	16	$220.00	$59.91
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	16	16	$1363.00	$523.70
74177 Ct scan of abdomen and pelvis with contrast	16	16	$221.00	$91.41
71260 Ct scan of chest with contrast	15	15	$220.00	$59.96
49083 Drainage of fluid from abdominal cavity using imaging guidance	14	11	$266.00	$101.21
72131 CT scan of lower spine	13	13	$188.00	$46.73
73560 X-ray of knee, 1-2 views	13	13	$20.00	$8.41
10005 Fine needle aspiration of first lesion using ultrasound guidance	13	12	$223.00	$74.01
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$49.00	$11.24
73610 X-ray of ankle, minimum of 3 views	12	11	$34.00	$8.78
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	12	12	$262.00	$109.10
70496 Ct scan of blood vessels of head with contrast	11	11	$251.00	$83.30
70498 Ct scan of blood vessels of neck with contrast	11	11	$251.00	$83.59
36590 Removal of peripheral venous catheter for infusion	11	11	$428.00	$174.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	334	308	$39.44	$8.96
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	250	196	$31.00	$12.45
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	114	93	$56.00	$18.32
76937 Ultrasonic guidance for blood vessel access	106	89	$45.00	$14.17
70450 Ct scan head or brain without contrast	103	102	$210.00	$41.25
77080 Dxa bone density measurement of hip, pelvis, spine	70	70	$61.00	$10.00
71046 X-ray of chest, 2 views	66	65	$56.88	$10.73
71275 Ct scan of blood vessels of chest with contrast	60	60	$215.00	$87.99
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	45	45	$628.00	$248.29
74176 Ct scan of abdomen and pelvis without contrast	44	43	$211.00	$85.86
74177 Ct scan of abdomen and pelvis with contrast	43	43	$221.00	$89.84
77012 Review by radiologist of ct guidance for needle placement	35	35	$174.00	$56.61
77080 Dxa bone density measurement of hip, pelvis, spine	30	30	$61.00	$10.00
71250 Ct scan of chest without contrast	28	28	$205.00	$56.80
74018 X-ray of abdomen, 1 view	25	24	$28.28	$9.00
74177 Ct scan of abdomen and pelvis with contrast	25	25	$221.00	$88.13
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$769.00	$335.27
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	23	13	$267.00	$97.43
73630 X-ray of foot, minimum of 3 views	17	17	$40.00	$8.34
71260 Ct scan of chest with contrast	16	16	$220.00	$59.12
73502 X-ray of hip, 2-3 views	16	16	$28.00	$11.02
72125 Ct scan of upper spine without contrast	14	14	$175.00	$51.95
72131 CT scan of lower spine	14	14	$188.00	$48.75
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	13	13	$606.00	$218.43
73610 X-ray of ankle, minimum of 3 views	12	12	$34.00	$8.65
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	12	12	$262.00	$107.12
73030 X-ray of shoulder, minimum of 2 views	12	11	$34.00	$9.29
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$49.00	$11.09
73501 X-ray of hip with pelvis, 1 view	12	12	$24.00	$9.34
71260 Ct scan of chest with contrast	12	12	$220.00	$59.96
73560 X-ray of knee, 1-2 views	12	12	$20.00	$8.27
73562 X-ray of knee, 3 views	12	12	$24.00	$9.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71010 X-ray of chest, 1 view, front	634	516	$41.00	$8.94
70450 Ct scan head or brain without contrast	200	194	$210.00	$41.58
71020 X-ray of chest, 2 views, front and side	168	165	$45.00	$10.72
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	164	146	$31.00	$12.06
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	121	102	$56.00	$18.66
74176 Ct scan of abdomen and pelvis without contrast	98	97	$211.00	$85.63
74177 Ct scan of abdomen and pelvis with contrast	95	93	$221.00	$89.53
77080 Dxa bone density measurement of hip, pelvis, spine	86	86	$61.00	$9.90
76937 Ultrasonic guidance for blood vessel access	77	69	$45.00	$14.22
71275 Ct scan of blood vessels of chest with contrast	77	77	$215.00	$89.12
71250 Ct scan of chest without contrast	69	69	$205.00	$49.46
74000 X-ray of abdomen, single view	63	59	$29.00	$8.97
74177 Ct scan of abdomen and pelvis with contrast	60	59	$221.00	$89.59
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	53	50	$628.00	$251.64
71260 Ct scan of chest with contrast	52	50	$220.00	$59.13
77080 Dxa bone density measurement of hip, pelvis, spine	44	43	$61.00	$9.97
71260 Ct scan of chest with contrast	43	43	$220.00	$59.09
71020 X-ray of chest, 2 views, front and side	42	41	$45.00	$10.72
72125 Ct scan of upper spine without contrast	35	35	$175.00	$52.44
71250 Ct scan of chest without contrast	34	34	$205.00	$48.89
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	30	19	$267.00	$120.48
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	26	$769.00	$338.27
74176 Ct scan of abdomen and pelvis without contrast	26	26	$211.00	$86.00
77012 Review by radiologist of ct guidance for needle placement	25	24	$174.00	$54.99
73502 X-ray of hip, 2-3 views	25	25	$28.00	$10.97
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$49.00	$11.05
73630 X-ray of foot, minimum of 3 views	24	24	$40.00	$8.31
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	22	22	$262.00	$108.29
73560 X-ray of knee, 1-2 views	22	19	$20.00	$8.26
73562 X-ray of knee, 3 views	20	14	$26.70	$9.28
72131 CT scan of lower spine	18	18	$188.00	$48.38
74022 Complete x-ray study of abdomen with single x-ray of chest	16	16	$60.00	$14.90
76770 Complete ultrasound scan behind abdominal cavity	15	15	$132.00	$36.10
73610 X-ray of ankle, minimum of 3 views	14	14	$34.00	$8.63
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	14	14	$606.00	$203.63
76770 Complete ultrasound scan behind abdominal cavity	13	13	$132.00	$36.30
73501 X-ray of hip with pelvis, 1 view	12	12	$24.00	$9.30
76705 Limited ultrasound scan of abdomen	12	12	$110.00	$28.79
73552 X-ray of thigh bone, minimum 2 views	11	11	$24.00	$9.30

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License OH 35072384

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2198885 (OH)

Medicaid State Provider ID

200320180 (IN)

Medicaid State Provider ID

64035090 (KY)

Hospital & Practice Group Affiliations

Tristate Img (Imaging Medical Group) Inc

375 Dixmyth Ave, Cincinnati, OH 452202475

Phone: 5138651331