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

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

Sdmi, LLC (NPI 1568462034)

Key Findings

Field	Value
Entity Type	Organization
Organization	Sdmi, LLC
Address	2950 S Maryland Pkwy
City	Las Vegas
State	NV
ZIP	89109
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 27, 2005

Payer Source	Total Paid
Medicaid	$14.3M
Medicare	$0

Payer mix and scale: SDMI, LLC reports no Medicare billing on file while reporting $14.3M in lifetime Medicaid revenue, indicating the provider operates effectively as a Medicaid-focused billing entity in this dataset rather than as a dual-payer practice. This asymmetry means any competitive or utilization conclusions should be interpreted within a Medicaid-only footprint.

Revenue concentration: SDMI’s top three Medicaid codes account for 41.2% of its total Medicaid revenue, driven by 77067 ($2.6M, 19.6%), 78815 ($1.8M, 13.6%), and 77063 ($1.1M, 8.0%). This concentration shows a small set of high-volume/high-cost imaging services are responsible for a large share of the provider’s Medicaid receipts.

Service-line profile — breast imaging and oncology diagnostics: The claims mix is heavily weighted toward mammography and breast tomosynthesis (77067: 24.2K claims, $108 avg paid/claim; 77063: 23.8K claims, $45 avg paid/claim) alongside PET/CT oncology imaging (78815: 2.2K claims, $810 avg paid/claim). Together these patterns indicate SDMI operates significant breast-imaging capacity and provides advanced oncologic imaging services, consistent with a diagnostic radiology practice that offers both screening and high-acuity imaging.

Competitive standing within Nevada — dominance across multiple modalities: SDMI ranks at or near the top of in-state peers on many high-revenue codes (for example, 77063 ranks #1 of 44 providers in-state and is described as an extreme outlier at the 100th percentile; 70553 ranks #1 of 35 providers and is an extreme outlier at the 100th percentile). Multiple 100th-percentile and top-rank positions across MRI, ultrasound, and MRI extremity codes indicate SDMI is a dominant statewide provider for several core imaging services.

High-volume, high-cost studies and service breadth: In addition to mammography and PET/CT, SDMI reports substantial Medicaid revenue from advanced imaging modalities—70553 (brain MRI with and without contrast) generated $797.4K, 72148 (lumbar spine MRI) generated $710.9K, and 76700 (abdominal ultrasound) generated $677.4K. The presence of high-reimbursement studies such as 78815 (PET/CT) and modality breadth across MRI, CT, ultrasound, and nuclear medicine supports a full-service radiology operation capable of handling both routine and complex diagnostic work.

Statistical outliers and above-typical volumes: Several claims lines are flagged as extreme outliers or notably above typical state volume—examples include 77067 (99th percentile; extreme outlier), 76641 (100th percentile; extreme outlier), 73721 (100th percentile; extreme outlier), and 72148 (100th percentile; extreme outlier). These labels indicate SDMI’s volumes for certain codes are far above typical state-level peers and suggest market concentration in those specific exams.

Operational implications for payers and partners: Given the reliance on a few high-revenue codes (41.2% from the top three) and many top-percentile rankings, SDMI is likely an important in-state partner for Medicaid patients needing breast screening/tomosynthesis, MRI, and PET/CT services; payers should expect significant case-mix in those modalities when steering patients to this provider. Contracts or network strategies that target mammography, neuro/spine MRI, or PET/CT capacity should account for SDMI’s substantial share of in-state Medicaid volume.

Tenure and market presence: The provider’s NPI has been enumerated since 2005-07-27 (~21 years), suggesting a long-established presence in the market that is consistent with the sustained, high-volume Medicaid billing profile observed across multiple imaging modalities. This tenure supports the interpretation that the current billing patterns reflect an enduring operational footprint rather than a short-term fluctuation.

Medicaid: Complete Services Breakdown

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

79 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…	24,220	$110	$2.6M
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.…	2,250	$810	$1.8M
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…	23,790	$50	$1.1M
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…	9,490	$80	$797.4K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	7,900	$100	$782.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	16,530	$40	$710.9K
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…	5,290	$130	$677.4K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	5,690	$110	$620.6K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	14,610	$40	$613.8K
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…	18,160	$30	$453.9K

Showing 1–10 of 79

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Sdmi, LLC — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

79 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.…	2	10	370	$660	$760.9K
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.	51	140	210	$140	$421K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	49	60	330	$150	$250.4K
74178	The 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…	3	10	580	$220	$221.3K
74176	The 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.	47	100	120	$110	$195.8K
70450	The 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.	51	160	190	$50	$174.9K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	42	50	540	$70	$152.3K
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…	1	40	110	$140	$147.6K
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…	2	70	140	$80	$131.6K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	2	10	530	$110	$120K

Showing 1–10 of 79

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
May Huang	NV	Diagnostic Radiology Physician	$972K	$53.9K
David Kuo	NV	Diagnostic Radiology Physician	$845.3K	$9.7K
Michael Kawaguchi	NV	Diagnostic Radiology Physician	$801.9K	$0
Victor Fong	NV	Diagnostic Radiology Physician	$553.5K	$0
Daniel Zurcher	NV	Diagnostic Radiology Physician	$542.1K	$6.6K
Henry Chang	NV	Diagnostic Radiology Physician	$492K	$14.1K
Skyler Greene	NV	Diagnostic Radiology Physician	$488.5K	$3.5K
Aanshu Shah	NV	Diagnostic Radiology Physician	$378.6K	$104.3K
David Browne	NV	Diagnostic Radiology Physician	$444.9K	$23.6K
Alison Nguyen	NV	Diagnostic Radiology Physician	$423.5K	$21.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Hospital And Medical Center, LLC	NV	General Acute Care Hospital	$0	$85.9M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$20.9M
Sunrise Hospital And Medical Center, LLC	NV	General Acute Care Hospital	$0	$17.1M
Sanjay Kandoth Md PC	NV	Pediatrics Physician	$0	$14.6M
Harold Zilberman M D Chtd	NV	Pediatrics Physician	$0	$14.3M
Radiology Specialists Ltd Marasso-miller	NV	Diagnostic Radiology Physician	$0	$13.9M
1st Love & Life Caregivers, LLC	NV	In Home Supportive Care Agency	$0	$10.8M
Childrens Lung Specialists	NV	Pediatric Pulmonology Physician	$0	$8.6M
Jlk Home Care, Inc	NV	In Home Supportive Care Agency	$0	$5.1M
Elsa Home Care Inc	NV	In Home Supportive Care Agency	$0	$4.8M

Sdmi, LLC — Billing Profile & Reimbursement Data

Sign up for Sdmi, LLC — Billing Profile & Reimbursement Data policy alerts

Sdmi, LLC — Billing Profile & Reimbursement Data

Sign up for Sdmi, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References