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NPI 1285066118 · Christiansted, VI · Clinical Medical Laboratory
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Medical Imaging, Inc. is a clinical medical laboratory provider located in Christiansted, U.S. Virgin Islands. This profile covers 15 Medicare and 5 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 | Medical Imaging, Inc. |
| Address | 4500 Sunny Isle Shopping Center |
| City | Christiansted |
| State | VI |
| ZIP | 00820 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | August 2, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $31.7K |
| Medicaid | $7.2K |
Payer mix and scale: MEDICAL IMAGING, INC. reports $31.7K in lifetime Medicare revenue and $7.2K in lifetime Medicaid revenue, indicating Medicare is the larger revenue source by a clear margin. These absolute revenue totals suggest a relatively small imaging operation compared with higher‑volume diagnostic centers. The NPI was enumerated 2013-08-02 (~13 years ago), so this footprint reflects more than a decade of billing activity at a modest scale.
Medicare revenue concentration and top drivers: The provider’s top three Medicare codes account for 42.0% of its Medicare revenue, showing a meaningful concentration among a few diagnostic imaging services. The single largest Medicare line is 74176 (CT abdomen/pelvis without contrast) at $6.6K (20.8%), followed by 76770 (retroperitoneal ultrasound) at $3.5K (11.1%) and 70450 (CT head without contrast) at $3.2K (10.1%), which together drive a substantial share of Medicare receipts.
Medicaid revenue concentration and top drivers: Medicaid billing is highly concentrated, with the top three Medicaid codes making up 82.2% of its Medicaid revenue. The Medicaid mix is dominated by 74177 (CT abdomen/pelvis with contrast) at $3.2K (44.6%) and includes 76805 (pregnancy ultrasound, later gestation) at $1.4K (19.5%) and 74176 at $1.3K (18.1%), suggesting that contrast CT and obstetric ultrasound are primary services for the Medicaid population.
Business/service-line implications: The code mix across both payers — including multiple CT codes (74176, 74177, 70450, 71250, 70486), abdominal and retroperitoneal ultrasounds (76700/76770), and vascular duplex studies (93925/93971/93880) — indicates an imaging-focused clinical laboratory that provides a broad set of diagnostic radiology and ultrasound services. The presence of both contrast and non‑contrast CTs plus obstetric ultrasound implies the practice serves general diagnostic imaging needs across abdominal, head/thorax, vascular, and prenatal care.
Competitive standing — Medicare: National percentile and rank data place this provider as a modest participant rather than a dominant national player for its top Medicare codes. For example, 74176 ranks #8188 of 22168 providers nationally (63th percentile; typical, unremarkable volume for this code) and 70450 sits lower at #15452 of 21092 (27th percentile; typical, unremarkable volume for this code), while 76770 is somewhat higher at #4901 of 18942 (74th percentile; typical, unremarkable volume for this code).
Competitive standing — Medicaid (state-level): Medicaid ranks indicate a small in‑state footprint: several key Medicaid codes rank at or near the bottom of the listed in‑state peers (for example, 74177 is #5 of 5 providers in‑state (0th percentile; typical, unremarkable volume) and 76805 is #5 of 6 (20th percentile; typical, unremarkable volume)). These placements point to limited statewide market share despite being one of the reported billing entities in the state.
Statistical outliers and volume characterization: Most reported codes are annotated as "typical, unremarkable volume for this code," reflecting no striking national anomalies in billing patterns. A few codes do appear at low national percentiles — for instance, 93970 is at the 3th percentile and 71271 at the 9th percentile — which signals relatively limited volume versus national peers for those specific complete/bilateral or screening studies.
Operational implications for payers and network strategy: Given the small overall Medicare ($31.7K) and Medicaid ($7.2K) revenue base and the heavy concentration in a handful of imaging codes (42.0% of Medicare and 82.2% of Medicaid tied to top three codes), payers should view MEDICAL IMAGING, INC. as a focused, lower-volume diagnostic imaging supplier. Contracting or network optimization efforts should account for its specific strengths in CT (contrast and non‑contrast) and ultrasound services, while recognizing it is not a high-volume statewide or national referral center.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 90 | $70 | $6.6K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 70 | $50 | $3.5K |
| 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. | 70 | $40 | $3.2K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 60 | $50 | $2.8K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 20 | $150 | $2.8K |
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 30 | $70 | $2K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 40 | $50 | $1.8K |
| 93971 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited… | 20 | $70 | $1.7K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 10 | $120 | $1.7K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 10 | $110 | $1.3K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
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.
5 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. | 10 | $270 | $3.2K |
| 76805 | In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks… | 10 | $100 | $1.4K |
| 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. | 20 | $80 | $1.3K |
| 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. | 10 | $60 | $680 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 60 | $10 | $610 |
How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. U.S. Virgin Islands median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 5 | 10 | 1,950 | $70 | $100.3K |
| 76805 | In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks… | 5 | 10 | 80 | $210 | $92.7K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3 | 10 | 60 | $100 | $67.6K |
| 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. | 5 | 10 | 1,400 | $40 | $39.6K |
| 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. | 5 | 10 | 110 | $70 | $24.7K |
Other providers in the same ZIP code as Medical Imaging, Inc., ranked by combined Medicare and Medicaid revenue.
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