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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Rhode Island Medical Imaging Inc (NPI 1205874930)

Key Findings

Field	Value
Entity Type	Organization
Organization	Rhode Island Medical Imaging Inc
Address	125 Metro Center Blvd Ste 2000
City	Warwick
State	RI
ZIP	02886
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

RHODE ISLAND MEDICAL IMAGING INC records no Medicare billing on file and has $15.2M in lifetime Medicaid revenue, making its commercial payer footprint effectively single‑payer for the federal programs shown here; analysts should treat this profile as Medicaid-dominant when assessing public‑payer risk and network importance. The provider’s NPI was enumerated ~20 years ago (2006-06-03), indicating long tenure in the market and suggesting established referral relationships and operational stability over time.

Revenue is highly concentrated in a small set of imaging services: the precomputed top three Medicaid codes account for 46.8% of this provider’s total Medicaid revenue, indicating dependence on a narrow set of high-volume imaging procedures for nearly half of Medicaid income. That concentration suggests business sensitivity to reimbursement or utilization changes for those leading codes.

The code mix shows a comprehensive outpatient diagnostic imaging operation centered on CT, mammography/tomosynthesis, and MRI services. High-volume CT abdomen/pelvis (74177), screening mammography (77067) and brain MRI with/without contrast (70553) appear as the leading generators of revenue, which aligns with a radiology practice offering cross-sectional CT and MR services plus a robust breast imaging program.

For multiple individual Medicaid CPTs the provider is a statewide volume leader: it ranks #1 and 100th percentile in-state for codes including 74177, 77067, 70553, 71046, 70450, 72148, 73721, 77063, 70551, 76642 and several others. These rank/percentile placements characterize the provider as a dominant Medicaid imaging center in Rhode Island, often an extreme outlier far above typical state volumes for those exams.

Specific high-impact codes are extreme outliers in the state and drive large absolute volumes: 74177 has 35.5K claims and $2.6M revenue (18.6% of Medicaid revenue) and ranks #1 of 59; 77067 has 46.7K claims and $2.3M revenue (16.6%) and ranks #1 of 54; 70553 contributes $1.6M (11.6%) and ranks #1 of 17. These figures underline that abdominal/pelvic CT, screening mammography/tomosynthesis, and brain MRI are core revenue drivers.

Beyond the top three, the provider also posts outsized statewide volumes for basic chest radiography (71046 and 71045), head CT (70450), multiple spine and extremity MRI codes (72148, 73721, 72141), and breast diagnostic/tomosynthesis procedures (77063, 77066). The breadth of high-volume codes across modalities (CT, MRI, ultrasound, X‑ray, mammography) suggests a full‑service diagnostic imaging operation rather than a narrow specialty clinic.

Several ultrasound and obstetric imaging codes (76700, 76856, 76830, 76815, 76705) also appear at or near the top of in-state rankings, indicating the practice supports a substantial outpatient ultrasound volume in addition to cross‑sectional imaging. Where listed, some of these are ranked #1 or in the top percentiles, reinforcing the provider’s role as a high-capacity regional imaging resource.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

91 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.	35,460	$70	$2.6M
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…	46,710	$50	$2.3M
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…	6,380	$260	$1.6M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	101,560	$10	$812.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	25,070	$30	$802.3K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	3,970	$200	$798.6K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	2,860	$270	$765.4K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	34,010	$20	$748.2K
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.	4,690	$140	$633.4K
76642	In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.	12,470	$40	$486.3K

Showing 1–10 of 91

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Rhode Island Medical Imaging Inc — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1	20	190	$520	$504.7K
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.…	3	10	260	$830	$363.7K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7	20	950	$140	$274.4K
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.	1	10	250	$240	$210.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	1	10	150	$280	$205.5K
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	60	160	$110	$162.4K
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…	1	50	450	$70	$152.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	1	10	190	$270	$151.3K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	1	10	240	$270	$132.3K
72158	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.	3	10	180	$530	$119.9K

Showing 1–10 of 91

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rhode Island Medical Imaging Inc	RI	Diagnostic Radiology Physician	$0	$2.6M
Julie Song	RI	Diagnostic Radiology Physician	$50.8K	$646.7K
Glenn Tung	RI	Diagnostic Radiology Physician	$100.5K	$536.7K
Hanan Khalil	RI	Diagnostic Radiology Physician	$180K	$413.7K
Linda Donegan	RI	Diagnostic Radiology Physician	$263.3K	$329K
Jeffrey Potter	MA	Diagnostic Radiology Physician	$355.4K	$201.1K
Gaurav Jindal	RI	Diagnostic Radiology Physician	$151.8K	$357.3K
Michael Seidler	RI	Diagnostic Radiology Physician	$195.5K	$277.1K
Robert Ward	RI	Diagnostic Radiology Physician	$128K	$308.3K
Elizabeth Ferrante	RI	Diagnostic Radiology Physician	$240.6K	$158.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Bay Residential Services Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$145.8M
Kent County Memorial Hospital	RI	General Acute Care Hospital	$0	$90.8M
Avatar Residential, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$72.9M
Thrive Behavioral Health, Inc.	RI	Community/Behavioral Health Agency	$0	$71.9M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Community Living Of Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$65.7M
J.arthur Trudeau Memorial Center Conversion Waivers	RI	Developmentally Disabled Services Day Training Agency	$0	$57.1M
Gateways To Change, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$54.5M
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
J, Arthur Trudeau Memorial Center	RI	Developmentally Disabled Services Day Training Agency	$0	$33.9M

Rhode Island Medical Imaging Inc — Billing Profile & Reimbursement Data

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Rhode Island Medical Imaging Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References