Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Puerto Rico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pet Diagnostic Imaging Corp (NPI 1144380999)

Field	Value
Entity Type	Organization
Organization	Pet Diagnostic Imaging Corp
Address	2225 Ponce By Pass Parra Building
City	Ponce
State	PR
ZIP	00717
Taxonomy	Radiology Clinic/Center
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file (none) while lifetime Medicaid revenue is reported as $4.8M, indicating the practice’s entire reported government revenue base comes from Medicaid. The absence of Medicare activity suggests the provider’s payer exposure and referral network are concentrated in the Medicaid population or under contracting arrangements that do not generate Medicare claims.

Revenue is highly concentrated in three PET-related codes: the top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, split across 78816 (46.3% of Medicaid revenue, $2.2M), A9552 (33.8% of Medicaid revenue, $1.6M), and 78815 (19.9% of Medicaid revenue, $949.2K). That concentration means business performance is tightly tied to utilization and reimbursement trends for these specific PET/PET‑CT services and the radiotracer supply.

The code mix identifies the operation as a PET/PET‑CT specialty imaging center: 78816 and 78815 are PET imaging procedures and A9552 is the per‑study FDG radiotracer supply. High shares for 78816 and 78815 indicate stand‑alone diagnostic PET/PET‑CT studies are the core clinical service, while the large A9552 volume shows routine billing for FDG doses consistent with an active PET throughput.

Operational throughput and unit economics can be inferred from claim counts and average paid amounts: 78816 shows 1.8K claims at $1217 avg paid/claim, A9552 shows 3.5K claims at $465 avg paid/claim, and 78815 shows 724 claims at $1311 avg paid/claim. The relatively large A9552 claim count versus scan counts suggests frequent per‑study radiotracer billing alongside a steady volume of PET studies, which supports a model with regular tracer procurement and administration operations.

Competitive standing in the state is strong for the leading PET items: 78816 ranks #1 of 10 providers in‑state (100th percentile; notably above typical state volume) and A9552 ranks #1 of 12 providers in‑state (100th percentile; notably above typical state volume), signaling market leadership for FDG PET services and tracer supply. By contrast, 78815 ranks #2 of 7 (83th percentile; typical, unremarkable volume), indicating the provider is a top regional participant but not necessarily the sole dominant source for every PET/CT CPT.

Tenure and market presence are established: the NPI was enumerated on 2006-12-11 (~20 years ago), indicating long‑standing operation in PONCE, PR. This longevity supports an interpretation of an established referral network and operational experience in PET imaging within the state Medicaid market.

From a business risk perspective, the practice’s dependence on a narrow set of PET codes (100.0% of Medicaid revenue concentrated in three codes) creates sensitivity to changes in PET reimbursement, FDG supply costs, or shifts in referral patterns. Any material change in utilization or payment for 78816, A9552, or 78815 would have an outsized impact on overall revenue given the lack of Medicare diversification and limited service mix.

Because there is no Medicare billing on file (none), comparisons to national Medicare peers are not applicable; competitive analysis should therefore focus on in‑state Medicaid peers where the provider is a top performer for key FDG/PET items. Analysts seeking market share or competitive dynamics should prioritize in‑state PET capacity, tracer supply networks, and Medicaid referral sources when benchmarking this provider.

Medicaid: Complete Services Breakdown

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
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	1,810	$1,220	$2.2M
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	3,470	$470	$1.6M
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	720	$1,310	$949.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

Claims Volume vs. Puerto Rico Distribution

Pet Diagnostic Imaging Corp — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	1	10	490	$1,200	$840.9K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	1	10	830	$450	$450.4K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	2	10	100	$1,010	$350.6K

Nearby Providers

Other providers in the same ZIP code as Pet Diagnostic Imaging Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caribbean Imaging And Radiation Treatment Center,inc	PR	Multi-Specialty Clinic/Center	$0	$19.3M
Compression Health Care Inc	PR	Oxygen Equipment & Supplies (DME)	$0	$10.6M
Caribbean Cancer Care Services, LLC	PR	Medical Oncology Physician	$0	$6.5M
Oficina Medica Dr Quintero Psc	PR	Specialist	$0	$4.9M
Hector Velez Cortes	PR	Hematology & Oncology Physician	$4.3K	$4M
Centro Oncologico De La Mujer De Puerto Rico Csp	PR	Oncology Clinic/Center	$0	$3.8M
Caribbean Wellness Oncology, Psc	PR	Hematology & Oncology Physician	$0	$3.6M
Jose Santiago Alvarado	PR	Anatomic Pathology & Clinical Pathology Physician	$17.2K	$3.2M
Dr German Chaves Radiologo Csp	PR	Diagnostic Radiology Physician	$0	$2.9M
Lydia Irizarry Gonzalez	PR	Pediatric Endocrinology Physician	$0	$2.6M

Pet Diagnostic Imaging Corp — Billing Profile & Reimbursement Data

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Pet Diagnostic Imaging Corp — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References