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NPI 1528006020 · Anchorage, AK · Diagnostic Radiology Physician
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Providence Imaging Center is a diagnostic radiology physician provider located in Anchorage, Alaska. This profile covers 107 Medicare and 29 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 | Providence Imaging Center |
| Address | 3340 Providence Dr |
| City | Anchorage |
| State | AK |
| ZIP | 99508 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | June 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $1.5M |
This provider reports $2.5M in lifetime Medicare revenue and $1.5M in lifetime Medicaid revenue, indicating a meaningful dual-payer presence where Medicare is the larger single payer by scale but Medicaid also contributes a substantial share of volume and revenue. Both payers are active in the book of business rather than the practice being effectively single-payer.
The Medicare revenue base is heavily concentrated: the top 3 Medicare codes account for 56.6% of this provider's total Medicare revenue, led by 78815 ($562.5K, 26.6%), 77067 ($479.6K, 22.6%), and A9552 ($157.6K, 7.4%). This concentration shows reliance on a small set of high-revenue imaging services—principally PET/CT and screening mammography—so changes in utilization or reimbursement for these codes would materially affect Medicare revenue.
On the Medicaid side the top 3 codes account for 50.2% of this provider's total Medicaid revenue, driven by 77067 ($440.9K, 29.7%), 76700 ($157.1K, 10.6%), and Q9967 ($148K, 10.0%). Medicaid revenue therefore leans more toward high-volume screening mammography and abdominal ultrasound/contrast supply, suggesting payer-specific utilization patterns where diagnostic ultrasound and mammography are particularly important for the Medicaid population.
The overall CPT mix points to a center with dual strengths in breast imaging and advanced functional imaging: very high volumes of screening mammography and tomosynthesis codes (77067, 77063, 77065, 77066, 76642, G0279) coexisting with significant PET/CT activity (78815, 78816, A9552) plus CT and MRI (74177, 71260, 70553). That mix implies an operational model combining routine high-throughput screening services with capacity for advanced cross-sectional and nuclear medicine studies, rather than a narrow specialty clinic.
Nationally, the provider is a high-volume outlier on several mammography metrics: 77067 ranks #17 of 15198 providers (100th percentile, labeled an extreme outlier) and 77063 ranks #15 of 14277 providers (100th percentile, extreme outlier). PET/CT presence is also above typical national volume (78815 ranks #289 of 6566, 96th percentile, described as notably above typical), so the center competes well above typical national volumes for both breast screening and advanced PET imaging.
In-state competitive standing on Medicaid shows local leadership in several modalities: 77067 ranks #3 of 26 in-state (92nd percentile, notably above typical), 76700 ranks #1 of 12 (100th percentile, extreme outlier), and 76642 ranks #1 of 8 (100th percentile). Those rankings indicate the provider is a dominant or top-tier facility for mammography and abdominal ultrasound within Alaska, capturing outsized state volume for those services.
Multiple codes across modalities are described as either "extreme outlier" or "notably above typical" at national and state levels—examples include 77067 and 77063 (extreme outlier nationally), 77080 and 77065 (100th percentile on Medicare), and CT/ultrasound codes such as 74177 and 76700 (high national/state percentiles). This consistent pattern of high percentiles across mammography, CT, PET/CT, and ultrasound underscores systematically elevated throughput rather than an isolated spike in a single code.
The provider has an established tenure with NPI enumerated 2006-06-04 (~20 years ago), supporting an inference of long-standing local operations and referral relationships that are consistent with the recorded high screening and diagnostic volumes. That longevity combined with a concentrated revenue base suggests operational scale in both routine screening workflows and higher-acuity imaging services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
107 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.… | 450 | $1,260 | $562.5K |
| 77067 | The 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… | 4,750 | $100 | $479.6K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 520 | $310 | $157.6K |
| 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. | 720 | $190 | $137.1K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 4,750 | $30 | $123.6K |
| 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… | 70 | $1,280 | $85.8K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 380 | $180 | $67.8K |
| 77080 | The 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… | 1,910 | $30 | $59.1K |
| 77065 | The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential… | 620 | $70 | $41.7K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 650 | $60 | $40.4K |
Showing 1–10 of 107
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 107 CPT/HCPCS codes.
View: State1 / 2
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.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77067 | The 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… | 3,940 | $110 | $440.9K |
| 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… | 1,890 | $80 | $157.1K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3,610 | $40 | $148K |
| 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. | 890 | $140 | $120.8K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 1,590 | $50 | $85.9K |
| 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.… | 150 | $500 | $74.5K |
| 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… | 4,260 | $20 | $68.1K |
| 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… | 880 | $80 | $66K |
| 77066 | The 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… | 500 | $130 | $63.5K |
| 77065 | The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential… | 540 | $90 | $46.8K |
Showing 1–10 of 29
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
29 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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. | 17 | 30 | 2,190 | $390 | $1.3M |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 9 | 20 | 2,260 | $110 | $466.9K |
| 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… | 13 | 50 | 900 | $80 | $318.1K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 8 | 20 | 310 | $310 | $174K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 7 | 10 | 280 | $330 | $165.7K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 3 | 10 | 2,780 | $40 | $131.2K |
| 76705 | 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… | 14 | 20 | 420 | $130 | $115.5K |
| 77067 | The 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… | 3 | 30 | 130 | $100 | $83.3K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 1 | 10 | 550 | $110 | $81.1K |
| 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. | 11 | 10 | 250 | $180 | $80.4K |
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Other providers in the same ZIP code as Providence Imaging Center, ranked by combined Medicare and Medicaid revenue.
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