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NPI 1699952960 · Kahului, HI · Diagnostic Radiology Physician
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Maui Diagnostic Imaging LLC is a diagnostic radiology physician provider located in Kahului, Hawaii. This profile covers 60 Medicare and 24 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 | Maui Diagnostic Imaging LLC |
| Address | 425 Koloa St Ste 102 |
| City | Kahului |
| State | HI |
| ZIP | 96732 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | January 29, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $469.1K |
| Medicaid | $442.2K |
Business/service-line: MAUI DIAGNOSTIC IMAGING LLC’s code mix is squarely diagnostic-imaging focused, with screening mammography (77067) and breast tomosynthesis (77063) plus cross-sectional studies (74177, 74178, various MRI codes) and ultrasound/DXA services dominating the portfolio. The presence of high-volume screening mammography on both payers alongside CT and MRI lines indicates an outpatient imaging center that handles routine screening and a broad set of diagnostic modalities rather than a narrow specialty clinic.
Revenue concentration – Medicare: The provider’s top three Medicare codes account for 43.3% of its Medicare revenue, with 77067 alone representing 27.3% of Medicare receipts. That concentration signals dependence on breast screening services within the Medicare book of business while the remaining revenue is spread across CT, MRI, ultrasound and plain radiography codes.
Revenue concentration – Medicaid: Medicaid billing is even more concentrated, with the top three Medicaid codes accounting for 72.5% of Medicaid revenue and 77067 representing 57.6% of the Medicaid total. This indicates the practice’s Medicaid revenue is heavily driven by screening mammography, making Medicaid financial performance particularly sensitive to breast-imaging volume and reimbursement changes.
Payer mix and scale: MAUI DIAGNOSTIC IMAGING reports comparable lifetime revenue from Medicare ($469.1K) and Medicaid ($442.2K), so it operates as a true dual-payer outpatient imaging provider rather than being effectively single-payer. The near-parity in scale suggests operational reliance on both public programs for overall throughput and revenue stability.
Competitive standing – Medicare: Nationally the provider’s volumes for leading Medicare imaging codes are generally in the typical range; for example, 77067 ranks #2347 of 15198 providers (85th percentile) and many MRI/CT codes fall in the mid-to-high percentiles but are described as "typical, unremarkable volume." There is no indication of national dominance, but the provider achieves solid, above-median activity on several common imaging services.
Competitive standing – Medicaid (in-state): Within Hawaii Medicaid, 77067 ranks #13 of 33 providers (63rd percentile) and is characterized as typical in-state volume, while breast ultrasound 76641 ranks #2 of 5 in-state (75th percentile), indicating comparatively stronger state-level positioning in diagnostic breast ultrasound. Overall the in-state ranks show the provider is a relevant regional player for breast imaging but not the dominant statewide provider across all modalities.
Statistical outliers and notable codes: A notable high-volume outlier on the Medicare side is 73564 (knee X-rays), which ranks #933 of 20494 providers (95th percentile) and is labeled "notably above typical national volume," suggesting locally elevated orthopedic imaging throughput. Most other high-revenue Medicare and Medicaid codes are described as typical or unremarkable volumes at their reported percentiles, so the knee X-ray pattern stands out as a specific area of above-average activity.
Tenure and operational implication: The NPI was enumerated on 2008-01-29 (~18 years ago), indicating long-standing registration and likely established referral flows. Combined with the heavy reliance on screening mammography (especially in Medicaid), this tenure suggests stable, routine screening volumes that underpin the practice’s revenue base and make imaging capacity for breast screening a core service-line priority.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
60 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… | 780 | $140 | $110.6K |
| 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. | 120 | $270 | $33.1K |
| 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… | 560 | $60 | $32K |
| 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… | 80 | $310 | $25.1K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 140 | $160 | $22.2K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 130 | $170 | $21.6K |
| 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… | 70 | $270 | $19.6K |
| 73221 | In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or… | 90 | $170 | $16.1K |
| 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… | 310 | $40 | $12.8K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 130 | $90 | $11.9K |
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.
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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.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 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… | 2,520 | $100 | $254.8K |
| 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… | 410 | $80 | $34.6K |
| 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… | 1,430 | $20 | $31.5K |
| 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… | 580 | $40 | $22.5K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 90 | $240 | $20.7K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 250 | $60 | $15.4K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 50 | $290 | $14.1K |
| 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… | 130 | $70 | $9.4K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 340 | $30 | $9.4K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 100 | $80 | $7.7K |
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How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 13 | 30 | 1,370 | $110 | $333.9K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 11 | 20 | 110 | $240 | $74.8K |
| 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… | 25 | 50 | 1,250 | $10 | $60.5K |
| 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… | 9 | 20 | 250 | $70 | $60.5K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 7 | 10 | 90 | $200 | $58.9K |
| 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… | 16 | 20 | 400 | $60 | $56.9K |
| 76641 | In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. | 2 | 10 | 150 | $50 | $54.5K |
| 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… | 22 | 30 | 600 | $50 | $51.5K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 5 | 10 | 30 | $130 | $37.5K |
| 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. | 12 | 20 | 290 | $70 | $31.5K |
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Other providers in the same ZIP code as Maui Diagnostic Imaging LLC, ranked by combined Medicare and Medicaid revenue.
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