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NPI 1093765851 · Denver, NC · Physiological Laboratory
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Carolinas Imaging Services LLC is a physiological laboratory provider located in Denver, North Carolina. This profile covers 129 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Carolinas Imaging Services LLC |
| Address | 409 Olin Way Ste 1100 |
| City | Denver |
| State | NC |
| ZIP | 28037 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | May 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $290 |
CAROLINAS IMAGING SERVICES LLC presents as a high-volume diagnostic imaging operation consistent with its Physiological Laboratory taxonomy: its Medicare top codes are dominated by cross-sectional and advanced imaging studies such as 74177 (CT abdomen/pelvis with contrast), 70553 (MRI brain with and without contrast), and 71260 (CT thorax with contrast), indicating a core business built around CT and MRI services rather than point-of-care or simple radiography. The presence of many additional CT, MRI, ultrasound, and mammography codes in the top 25 supports a full-spectrum outpatient imaging service line rather than a narrowly focused specialty clinic.
Revenue concentration on Medicare is materially concentrated in a small set of procedures: the precomputed top 3 Medicare codes (74177, 70553, 71260) account for 37.4% of this provider’s total Medicare revenue, with those individual codes contributing $441.6K (21.4%), $177.3K (8.6%), and $153.1K (7.4%) respectively. This level of concentration signals that fluctuations in demand, reimbursement, or denials for those specific CT and MRI services would meaningfully impact overall Medicare revenue.
On scale and payer mix, this entity is effectively Medicare‑centric: total Medicare revenue is $2.7M versus total Medicaid revenue of $291. The Medicaid footprint is negligible relative to Medicare, so payer-strategy, network participation, and utilization patterns should be evaluated primarily through the Medicare lens for contracting and capacity planning.
National competitive standing for several high-revenue Medicare codes is extreme: 74177 ranks #3 of 23621 providers nationally and is labeled an "extreme outlier, far above typical national volume for this code," while 71260 also ranks #3 of 20343 and 70553 ranks #13 of 11271 (each described as an "extreme outlier"). Multiple additional CT and MRI codes (e.g., 71250, 74178, 74176, 76705) similarly appear in very high percentiles, indicating the provider is a major national volume player for many advanced imaging services rather than a modest local contributor.
Although many Medicare imaging codes are extreme outliers, not all code lines are unusually large: the provider’s 77067 mammography activity ($69K, 3.3% of Medicare revenue) ranks in the 76th percentile and is described as "typical, unremarkable volume for this code," and a few other CPTs (e.g., 75574) are categorized as typical. This demonstrates that the operation concentrates especially heavily on certain CT/MRI modalities while maintaining more routine volumes in some screening and cardiac imaging services.
Medicaid billing is minimal but highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 77072 (skeletal maturity X‑ray) generating $215 (92.7% of Medicaid revenue) and 74177 accounting for $17 (7.3%). In-state ranks for these Medicaid codes are modest to low (77072 is #22 of 29, 25th percentile; 74177 is #146 of 157, 7th percentile), indicating a limited competitive position in the Medicaid market relative to peers.
An operational note from the Medicaid line: Q9967 appears with 464 claims but $0 revenue reported in the dataset, which may reflect payer-level bundling, supply passthrough coding, or reporting nuances rather than meaningful Medicaid revenue. This large claim count paired with no Medicaid dollars warrants attention during chart reviews or contract reconciliation to understand coding and payment treatment for contrast supplies.
The provider demonstrates longevity in the market, with its NPI enumerated on 2006-05-11 (~20 years ago), indicating an established presence; combined with the concentrated Medicare volumes and national outlier ranks, this tenure suggests sustained operational scale in outpatient advanced imaging rather than a recent surge in activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
129 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 1,940 | $230 | $441.6K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 770 | $230 | $177.3K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 1,630 | $90 | $153.1K |
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 580 | $260 | $150.1K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 1,520 | $90 | $141.6K |
| 74183 | The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast. | 380 | $260 | $96.9K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 580 | $140 | $82.4K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 550 | $140 | $77.6K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 580 | $120 | $69K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 490 | $130 | $65.4K |
Showing 1–10 of 129
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 129 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
129 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 0501T | 2 | 10 | 20 | $780 | $24.9K |
| 77067 | 146 | 650 | 180 | $70 | $24.7K |
| 77063 | 139 | 640 | 180 | $40 | $12.4K |
| 74177 | 1 | 840 | 110 | $80 | $11.9K |
| 70553 | 2 | 370 | 60 | $110 | $10.3K |
| 70450 | 120 | 770 | 160 | $30 | $7.1K |
| 74183 | 1 | 230 | 40 | $110 | $7K |
| 72197 | 5 | 160 | 40 | $120 | $6.3K |
| 76881 | 54 | 60 | 40 | $30 | $6.3K |
| 72148 | 4 | 580 | 50 | $80 | $6.1K |
Showing 1–10 of 129
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77072 | In this procedure, the provider measures the degree of skeletal maturity of a child by taking an X–ray image, typically of the left hand and wrist. | 40 | $10 | $220 |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 20 | $1 | $20 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 460 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 146 | 160 | 490 | $100 | $435.6K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 74 | 130 | 670 | $20 | $29.8K |
| 77072 | In this procedure, the provider measures the degree of skeletal maturity of a child by taking an X–ray image, typically of the left hand and wrist. | 22 | 30 | 250 | $10 | $5.2K |
Other providers in the same ZIP code as Carolinas Imaging Services LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Debra Powell | NC | Physician Assistant | $186.7K | $0 |
| Lisa Gardner | NC | Physical Therapist | $137.3K | $0 |
| Lauren Wilson | NC | Physician Assistant | $117K | $0 |
| Ashley Mills | NC | Clinical Social Worker | $96.5K | $0 |
| Prag Gupta | NC | Pulmonary Disease Physician | $92.6K | $0 |
| Jeffrey Ham | NC | Family Medicine Physician | $41.1K | $0 |
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