Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAdam Braithwaite
    Ask Trek AI about this page

    Adam Braithwaite — Billing Profile & Reimbursement Data

    NPI 1740301019 · Wilmington, NC · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Adam Braithwaite — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Adam Braithwaite is a diagnostic radiology physician provider located in Wilmington, North Carolina. This profile covers 59 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAdam Braithwaite
    Address1025 Medical Center Dr
    CityWilmington
    StateNC
    ZIP28401
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 3, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$435.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…1,980$80$154.1K
    77063The 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…1,970$40$76.9K
    74177The 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.380$70$27K
    77065The 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…310$60$17.6K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.310$50$14.6K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)430$30$13.3K
    74176The 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.180$60$11.4K
    77066The 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…150$70$11.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.190$50$9.1K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.60$150$8.6K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    770676650180$70$24.7K
    7881510520060$190$20.4K
    770636640180$40$12.4K
    7417757840110$80$11.9K
    70450273770160$30$7.1K
    7418315623040$110$7K
    721975016040$120$6.3K
    7055139941060$60$5.9K
    76641325040$70$5.7K
    190837511020$270$5.6K

    Showing 1–10 of 59

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Adam Braithwaite, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCGeneral Practice Physician$0$46.5M
    Wilmington Health PLLCNCPediatrics Physician$0$10M
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$0
    Ronald GeorgeNCRheumatology Physician$2.5M$0
    Francisco FolgarSCOphthalmology Physician$2.3M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Michael AllinghamNCRetina Specialist (Ophthalmology) Physician$1.7M$0
    Jonathan CookNCDermatology Physician$1.6M$0
    Eleonora LadNCRetina Specialist (Ophthalmology) Physician$1.4M$0
    Effy OjuokNJOphthalmology Physician$1.3M$0

    Nearby Providers

    Other providers in the same ZIP code as Adam Braithwaite, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Novant Health New Hanover Regional Medical Center LLCNCGeneral Acute Care Hospital$0$57.5M
    New Hanover Regional Medical CenterNCGeneral Acute Care Hospital$0$23.7M
    Access Family ServicesNCCommunity/Behavioral Health Agency$0$15.3M
    Care Providers Of WilmingtonNCHome Health Agency$0$10M
    Ecep Ii PANCEmergency Medicine Physician$0$9.7M
    Novant Health New Hanover Regional Medical Center LLCNCAmbulance$6.1M$2.7M
    Coastal Horizons Center Inc.NCCommunity/Behavioral Health Agency$0$8.7M
    New Hanover Community Health Center IncorporatedNCFederally Qualified Health Center (FQHC)$0$8.5M
    Kidzcare Pediatrics, PCNCPediatrics Physician$0$8.2M
    Rha Health Services, IncNCCommunity/Behavioral Health Agency$0$7.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Adam Braithwaite — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina