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    OpenPayerNPI Medicare & MedicaidAmbulatory Diagnostic Center Inc
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    Ambulatory Diagnostic Center Inc — Billing Profile & Reimbursement Data

    NPI 1407957434 · Coral Gables, FL · Mammography Clinic/Center

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    Ambulatory Diagnostic Center Inc is a mammography clinic/center provider located in Coral Gables, Florida. This profile covers 59 Medicare and 22 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)

    FieldValue
    Entity TypeOrganization
    OrganizationAmbulatory Diagnostic Center Inc
    Address747 Ponce De Leon Blvd
    CityCoral Gables
    StateFL
    ZIP33134
    TaxonomyMammography Clinic/Center
    NPI EnumeratedSeptember 25, 2006

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

    Payer SourceTotal Paid
    Medicaid$548.3K
    Medicare$358.6K

    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.

    59 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.…50$1,290$59.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.290$110$31.4K
    77067The 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…220$130$28.6K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries60$400$24.1K
    71046In 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…590$30$16.4K
    78816The 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…10$1,290$14.2K
    74176The 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.80$160$12.8K
    74178The 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…40$290$11.8K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose30$330$11.3K
    93925The 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…60$200$10.9K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7881523537070$740$121.8K
    A955213925070$390$56.4K
    A9502335380110$280$45.6K
    7881611612040$660$42.3K
    77067412960170$90$36.4K
    784521,2191,33070$250$25.3K
    933061,7662,220190$100$25.2K
    741771,4361,480100$100$14.4K
    721489791,09050$110$11.4K
    7664119642060$70$9.7K

    Showing 1–10 of 59

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…7,920$40$293.2K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.2,400$40$105.4K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.1,780$20$32K
    71046In 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…7,770$1$31.1K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.930$20$17.6K
    76700An 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…690$20$15.1K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.320$40$12K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…2,390$10$11.9K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…250$40$10.8K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…800$1$2.4K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    70450The 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.3594101,640$40$220.5K
    74176The 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.2473101,120$80$185.5K
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1982501,850$40$117.6K
    77067The 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…11290230$40$53K
    76705An 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…226280550$20$43.2K
    76700An 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…49180140$50$43.1K
    71046In 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…82610690$10$41K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.12130180$40$40.8K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.176360320$40$37.4K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.28120170$50$37.2K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ambulatory Diagnostic Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brett NielsonPADiagnostic Radiology Physician$180.4K$760

    Nearby Providers

    Other providers in the same ZIP code as Ambulatory Diagnostic Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A And Y Geriatric Service IncFLAttendant Care Provider$0$15.5M
    Prn Nursings Services, IncFLHome Health Agency$0$14.6M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.5M
    Brightstar Community Mental CorpFLCommunity/Behavioral Health Agency$0$12.5M
    Gtg CareFLRegistered Nurse$0$12.3M
    Total Renal Care IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$8.8M
    Vitor WeinmanFLDermatology Physician$109K$1.3M
    Armando HassunFLInterventional Pain Medicine Physician$206.1K$83.7K
    Jose Sanchez ChavezFLInternal Medicine Physician$259.3K$0
    Carlos TrabancoFLSurgery Physician$216.4K$32.8K

    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. Florida Distribution
    Ambulatory Diagnostic Center Inc — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Ambulatory Diagnostic Center Inc — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida