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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Imc-diagnostic And Medical Clinic LLC (NPI 1447201066)

Imc-diagnostic And Medical Clinic LLC is a internal medicine physician provider located in Mobile, Alabama. This profile covers 0 Medicare and 52 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Imc-diagnostic And Medical Clinic LLC
Address	1700 Springhill Ave
City	Mobile
State	AL
ZIP	36604
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13,320	$20	$319.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,300	$40	$150.3K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,530	$70	$101.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,070	$80	$80K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,360	$30	$75.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,590	$20	$59.5K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	3,840	$10	$46.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	8,310	$1	$33.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	920	$30	$31.4K
J9035	Injection, bevacizumab, 10 mg	850	$30	$22.9K

Showing 1–10 of 52

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Imc-diagnostic And Medical Clinic LLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	8	10	470	$170	$973.4K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	8	10	280	$50	$303.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	543	1,990	680	$60	$201.7K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	78	120	170	$160	$200.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	191	330	140	$240	$197.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	547	1,990	560	$40	$185.6K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	12	20	630	$40	$174.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	27	250	420	$50	$133K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	100	130	260	$10	$124.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	22	400	470	$30	$97.1K

Showing 1–10 of 52

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Medical Group Inc	TN	Internal Medicine Physician	$0	$35.6M
William Sullivan	AL	Rheumatology Physician	$1.6M	$0
Usa Health Physician Billing Services LLC	AL	Pediatric Cardiology Physician	$0	$1.6M
Alan Franklin	AL	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Ray Mclaughlin	AL	Rheumatology Physician	$875.9K	$0
Clifford Tillman	LA	Gastroenterology Physician	$439.4K	$268.7K
Robert Percy	AL	Pulmonary Disease Physician	$384.3K	$0
Mina Jacob	AL	Vascular Surgery Physician	$325.9K	$0
K Varden	AL	Internal Medicine Physician	$311.5K	$0
Hercules Panayiotou	AL	Cardiovascular Disease Physician	$270.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usa Health Physician Billing Services LLC	AL	Neonatal-Perinatal Medicine Physician	$0	$28.2M
University Of South Alabama	AL	Children's Hospital	$0	$24.8M
University Of South Alabama	AL	Neonatal-Perinatal Medicine Physician	$0	$11.6M
Usa Health Physician Billing Services LLC	AL	Pediatrics Physician	$0	$11M
University Of South Alabama	AL	Case Management Agency	$0	$8M
Usa Health Physician Billing Services LLC	AL	Obstetrics & Gynecology Physician	$0	$6.3M
University Of South Alabama	AL	Obstetrics & Gynecology Physician	$0	$4M
University Of South Alabama	AL	Pediatrics Physician	$0	$3.4M
Usa Health Physician Billing Services LLC	AL	Orthopaedic Surgery Physician	$0	$2.6M
Usa Health Physician Billing Services LLC	AL	Hospitalist Physician	$0	$2.3M

Imc-diagnostic And Medical Clinic LLC — Billing Profile & Reimbursement Data

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Imc-diagnostic And Medical Clinic LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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