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

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

Shields Imaging At York Hospital LLC (NPI 1750828539)

Field	Value
Entity Type	Organization
Organization	Shields Imaging At York Hospital LLC
Address	114 Sanford Rd
City	Wells
State	ME
ZIP	04090
Taxonomy	Mobile Radiology Clinic/Center
NPI Enumerated	January 31, 2017

Payer Source	Total Paid
Medicare	$417K
Medicaid	$0

Key Findings

Service-line profile: The provider's billing is concentrated in PET/CT and radiopharmaceutical diagnostic codes (notably 78815, A9595, A9552), which aligns with its Mobile Radiology Clinic/Center taxonomy and indicates a specialty operation focused on nuclear medicine imaging and tracer administration rather than broad outpatient imaging. Average paid amounts and claim volumes (e.g., 78815: 171 claims at $1165 avg paid/claim; A9595: 225 claims at $484 avg paid/claim; A9552: 176 claims at $412 avg paid/claim) reinforce that high-value PET/CT studies and radiopharmaceutical doses drive receipts.

Revenue concentration: Medicare revenue is highly concentrated in three codes: 78815, A9595, and A9552 together account for 91.3% of the provider's total Medicare revenue. The single-line concentration suggests the business is economically dependent on a narrow set of high-cost diagnostic procedures rather than a diversified procedure mix.

Payer mix and scale: This entity reports $417K in total Medicare revenue and has no Medicaid billing on file, making it effectively a Medicare-only (single-payer) billing footprint in the available data. Analysts should treat Medicaid-related competitive or access questions as not applicable for this provider based on current billing.

Competitive standing by code: For its top revenue code 78815 the provider ranks #1206 of 6566 providers nationally (82th percentile; typical, unremarkable volume for this code), indicating a modest but not dominant national position for combined PET/CT imaging. A9552 ranks #364 of 2411 providers nationally (85th percentile; typical, unremarkable volume), which suggests somewhat higher relative activity for FDG tracer dosing compared with many peers, while A9595 sits at #264 of 528 providers nationally (50th percentile; typical, unremarkable volume), reflecting a median-level presence for that radiopharmaceutical.

Claim-level economics: The average paid amounts show PET/CT imaging as the highest paid claim line here (78815 at $1165 avg paid/claim), while radiopharmaceutical supply codes are lower per-claim ($484 for A9595 and $412 for A9552). Given the claim counts and averages (e.g., A9595 has the highest claim count at 225), both per-claim price and utilization are material contributors to revenue generation.

Utilization profile and operational implications: The top three CPT/HCPCS codes by revenue are also among the highest-volume lines (78815: 171 claims; A9595: 225 claims; A9552: 176 claims), implying routine, repeated delivery of PET studies and radiotracer doses rather than one-off or sporadic procedures. That utilization pattern is consistent with a mobile imaging service making repeated site visits or scheduled scanning sessions for oncology imaging.

Tenure and stability: The NPI was enumerated on 2017-01-31 (~9 years ago), indicating the provider has been in the Medicare billing system for multiple years; this tenure supports interpretation of the observed revenue mix as an established operational pattern rather than a single-year anomaly.

Risk/variation signal: There are no extreme outlier labels among the top codes; all are described as "typical, unremarkable volume" at their respective percentiles, so the provider's Medicare activity should be viewed as consistent with peer patterns for specialized PET/radiopharmaceutical services rather than an extraordinary deviation requiring immediate scrutiny.

Medicare: Complete Services Breakdown

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

5 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.…	170	$1,170	$199.2K
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	230	$480	$108.9K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	180	$410	$72.5K
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…	20	$1,170	$18.8K
78608	In this diagnostic procedure, the provider performs PET, positron emission tomography, a type of nuclear imaging test. It tells how the brain is functioning with information on metabolism, such as…	20	$980	$17.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Shields Imaging At York Hospital LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9595	2	10	260	$480	$125K
A9552	2	10	70	$400	$43.1K
78815	5	40	50	$380	$27.1K
78608	1	10	20	$980	$17.6K
78816	9	10	20	$390	$9K

Nearby Providers

Other providers in the same ZIP code as Shields Imaging At York Hospital LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ycpd, PLLC	ME	Pediatric Dentistry	$0	$794.9K
Wells Emergency Medical Service Inc	ME	Land Ambulance	$287.2K	$188.5K
Michael Hatton	ME	Pediatric Dentistry	$0	$462.6K
Cvs State Capital, L.L.C.	ME	Pharmacy	$254.6K	$0
Jeffrey Cote	ME	Family Medicine Physician	$70K	$0
Jill Dimartinis	ME	Family Medicine Physician	$67.2K	$0
Jane Pelletier	ME	Physician Assistant	$14.8K	$0
Jane Adams	ME	Obstetrics & Gynecology Nurse Practitioner	$1.9K	$0

Shields Imaging At York Hospital LLC — Billing Profile & Reimbursement Data

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Shields Imaging At York Hospital LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References