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NPI 1639140387 · Windsor Mill, MD · Physiological Laboratory
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American Diagnostics Services LLC is a physiological laboratory provider located in Windsor Mill, Maryland. This profile covers 24 Medicare and 25 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 | American Diagnostics Services LLC |
| Address | 2505 Lord Baltimore Drive |
| City | Windsor Mill |
| State | MD |
| ZIP | 21244 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | January 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.1M |
| Medicare | $2.9M |
AMERICAN DIAGNOSTICS SERVICES LLC operates as a high-volume noninvasive diagnostic imaging/physiological laboratory, with the code mix dominated by duplex vascular studies (93971, 93970, 93925) alongside significant echocardiography (93306) and multiple abdominal and pelvic ultrasound codes. This mix indicates a service-line focused on vascular and general ultrasound diagnostics rather than procedure-based or surgical services, consistent with a physiology lab taxonomy.
Revenue concentration is heavily focused in a few vascular imaging codes: the provider's top 3 Medicare codes account for 59.7% of its Medicare revenue and the top 3 Medicaid codes account for 58.0% of its Medicaid revenue, with 93971, 93970 and 93925 forming the core revenue drivers for both payers. This concentration suggests business risk and specialization tied closely to duplex vascular testing demand.
The payer mix is nearly balanced in scale: Total Medicare revenue is $2.9M while total Medicaid revenue is $3.1M, indicating the provider draws substantial volume from both public payers and is not effectively single-payer dependent. The similar magnitudes mean changes in either program reimbursement or referral patterns could materially affect overall revenue.
On Medicare, this provider is a dominant national outlier for several high-revenue codes: it ranks #1 nationally for 93971, 93970 and 93925 and is also #1 for 93306 on Medicare, with the profile labeled an “extreme outlier” in national comparisons for those codes. Those top ranks indicate the provider has far higher-than-typical national throughput for duplex vascular and echocardiographic services and is a major national player for these imaging procedures.
On Medicaid within Maryland, the provider is also the clear statewide leader for core vascular codes: it ranks #1 in-state for 93971, 93970 and 93925 and posts exceptionally large claim volumes (for example, 58.5K claims for 93971 and 22.5K claims for 93970 on Medicaid). These state-level rankings classify the provider as an extreme outlier in Maryland for vascular duplex studies and suggest market dominance for those lines.
Code-level statistical signals are mixed outside the primary vascular cluster: multiple Medicare and Medicaid codes are flagged as "extreme outlier" or "notably above typical" (e.g., 93971, 93970, 93925 and 93306 on Medicare), while some other services show typical or unremarkable volume (for example Medicare 93978 is characterized as typical, unremarkable). This indicates the provider’s specialty footprint is concentrated and exceptional for vascular and certain ultrasound services, with other imaging lines at more ordinary volumes.
Operational throughput implications are evident from the raw claim counts on key codes: Medicare shows 17.2K claims for 93971 and 9.1K claims for 93970, while Medicaid shows 58.5K claims for 93971 and 22.5K claims for 93970, signaling very high-volume, repeatable scanning operations. Those claim volumes imply an established, process-driven workflow suited to high-frequency outpatient diagnostic imaging rather than occasional or low-volume testing.
The provider has long tenure in the billing ecosystem (NPI enumerated 2006-01-31, ~20 years ago), and that longevity combined with its top-percentile national and state ranks for core vascular codes suggests an entrenched market position in noninvasive vascular diagnostics and related ultrasound services. Analysts should view this entity as an established, specialized imaging provider whose performance is concentrated in duplex vascular and selected ultrasound modalities.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93971 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited… | 17,230 | $40 | $689K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 9,070 | $60 | $571.3K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 5,540 | $80 | $448.4K |
| 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… | 5,410 | $70 | $362.4K |
| 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… | 3,790 | $40 | $151.6K |
| 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… | 3,560 | $40 | $149.6K |
| 93926 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to… | 2,700 | $50 | $121.7K |
| 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… | 3,260 | $30 | $104.4K |
| 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. | 1,530 | $40 | $62.6K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 670 | $80 | $52.5K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 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.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93971 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited… | 58,480 | $20 | $877.2K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 22,540 | $20 | $518.4K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 19,280 | $20 | $424.1K |
| 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… | 14,190 | $20 | $340.6K |
| 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… | 14,000 | $10 | $196K |
| 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… | 11,970 | $20 | $179.5K |
| 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… | 11,210 | $20 | $179.4K |
| 93926 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to… | 12,170 | $10 | $170.4K |
| 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. | 4,940 | $10 | $59.3K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 2,080 | $20 | $45.8K |
Showing 1–10 of 25
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
25 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4 | 160 | 340 | $70 | $139.2K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 1 | 30 | 350 | $50 | $99.8K |
| 76642 | In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images. | 5 | 40 | 240 | $50 | $97.3K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 14 | 70 | 380 | $60 | $94.5K |
| 93978 | The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess… | 9 | 10 | 110 | $120 | $90.3K |
| 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… | 2 | 30 | 250 | $50 | $81.5K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 1 | 60 | 230 | $50 | $61.4K |
| 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. | 3 | 30 | 310 | $50 | $52.4K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 4 | 40 | 130 | $70 | $45.4K |
| 93971 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited… | 1 | 70 | 110 | $20 | $41.4K |
Showing 1–10 of 25
Other providers in the same ZIP code as American Diagnostics Services LLC, ranked by combined Medicare and Medicaid revenue.
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