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    OpenPayerNPI Medicare & MedicaidPerth Amboy Health Care L.L.C.
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    Perth Amboy Health Care L.L.C. — Billing Profile & Reimbursement Data

    NPI 1427092675 · Perth Amboy, NJ · Mammography Clinic/Center

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    Perth Amboy Health Care L.L.C. is a mammography clinic/center provider located in Perth Amboy, New Jersey. This profile covers 3 Medicare and 12 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
    OrganizationPerth Amboy Health Care L.L.C.
    Address607 Amboy Avenue
    CityPerth Amboy
    StateNJ
    ZIP08861
    TaxonomyMammography Clinic/Center
    NPI EnumeratedJune 16, 2006

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

    Payer SourceTotal Paid
    Medicaid$94.9K
    Medicare$3.9K

    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.

    3 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…20$150$2.5K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.20$50$750
    71048In this diagnostic procedure, the provider performs a minimum of four radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$30$590

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067392410250$100$40.2K
    7104841020$30$950
    72114387020$40$920

    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.

    12 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…980$60$57.7K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.60$190$10.9K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.120$80$9.7K
    71048In this diagnostic procedure, the provider performs a minimum of four radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…250$20$5.8K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.170$20$4.2K
    72120In this diagnostic procedure, the provider performs a two or three view radiological study of the lumbosacral spine with the patient in a bending position. He performs this lumbosacral examination to…110$20$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…30$50$1.5K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…10$90$1.2K
    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…40$30$1.1K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$10$470

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1071801,610$70$284.3K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…8790270$120$135.3K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.71110120$240$131.2K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.67100300$80$124K
    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…165190370$80$85.5K
    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.133140170$70$54.5K
    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…93130270$50$48.9K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.178180370$30$35.4K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.124160270$30$25K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.610180$40$10.2K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Perth Amboy Health Care L.L.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$65.4M
    Caliberhealth PlusNJHome Health Agency$0$20.5M
    2nd Home Perth Amboy Operations, LLCNJAdult Day Care Clinic/Center$0$16.7M
    Perth Amboy Public SchoolsNJLocal Education Agency (LEA)$0$16.5M
    Graceland Adult Medical Day Care,incNJAdult Day Care Clinic/Center$0$16.1M
    Bayada Home Health Care, Inc.NJHome Health Agency$0$11.7M
    Central Jersey Medical Center, Inc.NJFederally Qualified Health Center (FQHC)$0$11.4M
    County Of MiddlesexNJMental Health Clinic/Center (Including Community Mental Health Center)$0$9.5M
    The Amboys Pediatrics PANJLegal Medicine$0$9.2M
    Raritan Bay Medical CenterNJGeneral Acute Care Hospital$0$8.4M

    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. New Jersey Distribution
    Perth Amboy Health Care L.L.C. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Perth Amboy Health Care L.L.C. — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey