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.

St. Vincent's P.e.t. Center, LLC (NPI 1457337073)

Field	Value
Entity Type	Organization
Organization	St. Vincent's P.e.t. Center, LLC
Address	2728 10th Ave S
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	December 15, 2005

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

The provider is clearly a specialized PET/CT imaging center: the top revenue codes are 78815 (PET/CT), A9595 (Piflufolastat f-18), and A9552 (FDG), and the code descriptions emphasize fused PET and CT imaging plus administration of radiopharmaceuticals. The distribution of billed services and the presence of multiple radiotracer codes indicate an operational focus on molecular diagnostic imaging, most commonly used in oncologic evaluation and targeted diagnostic scans.

Revenue is highly concentrated in a very small code set: the precomputed top-3 codes (78815, A9595, A9552) account for 93.7% of the provider's total Medicare revenue, with 78815 contributing 46.3%, A9595 contributing 40.2%, and A9552 contributing 7.2%. This narrow billing mix implies that changes in utilization or reimbursement for any of these three codes would materially affect the provider’s Medicare income stream.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.6M while Medicaid billing is reported as none on file. The absence of Medicaid activity means the provider’s public-payer exposure is concentrated entirely in Medicare, which has implications for reimbursement negotiations and revenue stability tied to Medicare policy changes.

Competitive standing on Medicare is dominant for several PET-related codes: 78815 ranks #94 of 6566 providers nationally (99th percentile) and is described as an extreme outlier, A9595 ranks #14 of 528 providers (98th percentile) and is notably above typical national volume, and A9552 ranks #44 of 2411 providers (98th percentile) and is also an extreme outlier. These rankings indicate the provider operates at a markedly higher scale for these PET/radiotracer services than most national peers, consistent with a high-volume niche imaging center.

Not all imaging activity is high-revenue: A9587 (Gallium ga-68, dotatate) appears on the list with 756 claims but represents only $37K (2.4% of Medicare revenue) and ranks #31 of 77 providers nationally (57th percentile), a typical, unremarkable volume. Other conventional radiography codes (74019, 71046, 77075) appear at very low revenue shares (each ~0.1%) which shows the practice’s ancillary plain-film imaging is a minor portion of total Medicare billing.

Operational and strategic implications follow from the radiopharmaceutical mix and claim counts: A9595 shows 1.4K claims with an average paid/claim of $461 and A9552 shows 576 claims with an average paid/claim of $196, reflecting substantial throughput of tracer-based PET studies. The provider’s volume profile suggests a referral-supported workflow and inventory/handling requirements for multiple radiotracers, which is consistent with a dedicated PET service line rather than general diagnostic radiology.

The provider has a long tenure on file, with its NPI enumerated on 2005-12-15 (~21 years ago), which supports the interpretation that the current service mix and high PET volumes are the result of an established operation rather than a recent startup. Long enumeration combined with concentrated PET revenues may indicate an entrenched role in the local or regional imaging referral network.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.…	700	$1,040	$725.5K
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	1,370	$460	$629.3K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	580	$200	$112.9K
78816	The 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…	60	$1,040	$58.2K
A9587	Gallium ga-68, dotatate, diagnostic, 0.1 millicurie	760	$50	$37K
74019	Report this code for two X–ray views of the structures and organs in the abdomen to diagnose certain abdominal problems.	50	$20	$1.3K
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…	50	$20	$990
77075	In this procedure, the provider performs a series of X–rays imaging all the bones of the body to evaluate the spread of cancer or to detect any other abnormality.	10	$70	$870

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

St. Vincent's P.e.t. Center, LLC — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9595	1	10	260	$460	$238K
A9587	5	10	1,040	$50	$56.1K
78815	1	150	40	$610	$47.6K
A9552	1	40	130	$190	$29.4K
78816	3	20	20	$790	$22.9K
71046	627	1,310	40	$10	$1.3K
77075	5	10	20	$50	$940
74019	5	130	20	$10	$250

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Vincent's P.e.t. Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederick Kebbel	AL	Neuroradiology Physician	$88K	$0
Jill Rutherford	AL	Diagnostic Radiology Physician	$86.1K	$0
Robert Hines	AL	Body Imaging Physician	$68.3K	$0
Barrett Cary	AL	Diagnostic Radiology Physician	$54.5K	$0

Nearby Providers

Other providers in the same ZIP code as St. Vincent's P.e.t. Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paragon Contracting Services LLC	AL	Emergency Medicine Physician	$0	$54.5M
Oral & Facial Surgery Of Al, PC	AL	Specialist	$0	$6.4M
Pediatric Dental Associates Of Birmingham, LLC	AL	Pediatric Dentistry	$0	$6.1M
University Of Alabama At Birmingham	AL	Developmental Disabilities Clinic/Center	$0	$4.8M
Magnolia Pediatrics South Inc	AL	Pediatric Adolescent Medicine Physician	$0	$2.9M
Birmingham Pediatric Assoc	AL	Pediatrics Physician	$0	$2.5M
Alabama Ophthalmology Associates, P.C.	AL	Ophthalmology Physician	$0	$2.1M
St. Vincent's Birmingham	AL	General Acute Care Hospital	$0	$1.3M
Cara Bondly	AL	Hematology & Oncology Physician	$986.3K	$0
Redmont Pediatric Associates, P.C.	AL	Specialist	$0	$946.2K

St. Vincent's P.e.t. Center, LLC — Billing Profile & Reimbursement Data

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St. Vincent's P.e.t. Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References