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    OpenPayerNPI Medicare & MedicaidSeton Medical Management Inc.
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    Seton Medical Management Inc. — Billing Profile & Reimbursement Data

    NPI 1205265303 · Mobile, AL · Radiology Clinic/Center

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    Seton Medical Management Inc. is a radiology clinic/center provider located in Mobile, Alabama. This profile covers 2 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSeton Medical Management Inc.
    Address6701 Airport Blvd
    CityMobile
    StateAL
    ZIP36608
    TaxonomyRadiology Clinic/Center
    NPI EnumeratedNovember 8, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$326.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET 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.…260$1,080$277.5K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries250$200$49.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788151015040$610$47.6K
    A9552840130$190$29.4K

    Nearby Providers

    Other providers in the same ZIP code as Seton Medical Management Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Medical Group, P.A.ALSpecialist$0$7.4M
    Coast Diagnostics, LLCALClinical Medical Laboratory$275.1K$5.7M
    Springhill Hospitals, IncALGeneral Acute Care Hospital$0$5.3M
    Pulmonary Associates Of Mobile PCALPulmonary Disease Physician$0$5.3M
    Providence HospitalALGeneral Acute Care Hospital$0$4.8M
    Alabama Providence Healthcare ServicesALInternal Medicine Physician$0$4.7M
    University Of South Alabama Health Care AuthorityALInternal Medicine Physician$0$3.9M
    Mobile Emergency Physicians, LLCALEmergency Medicine Physician$0$3.3M
    Imc-pediatric & Adolescent Medicine, LLCALPediatric Adolescent Medicine Physician$0$3.3M
    Springhill Emergency Physicians, PCALEmergency Medicine Physician$0$3.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Seton Medical Management Inc. — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama