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NPI 1770830606 · Oak Brook Terrace, IL · Mobile Radiology Clinic/Center
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Cardiac Imaging Inc is a mobile radiology clinic/center provider located in Oak Brook Terrace, Illinois. This profile covers 6 Medicare and 6 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 | Cardiac Imaging Inc |
| Address | Two Transam Plaza Drive |
| City | Oak Brook Terrace |
| State | IL |
| ZIP | 60181 |
| Taxonomy | Mobile Radiology Clinic/Center |
| NPI Enumerated | August 9, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $31.1M |
| Medicaid | $1.7M |
CARDIAC IMAGING INC is categorized as a Mobile Radiology Clinic/Center and its CPT/HCPCS mix (predominantly 78431, A9555 and J2785) is narrowly focused on myocardial perfusion PET imaging with pharmacologic stress and rubidium tracer use, indicating a specialized, high-throughput cardiac PET service line rather than a broad diagnostic radiology practice. The presence of both tracer code A9555 and stress agent J2785 alongside PET study codes supports an operation that conducts paired tracer-and-stress protocols routinely, consistent with mobile cardiac imaging deployments to facilities or clinics.
Medicare revenue is highly concentrated: the top three Medicare codes 78431 ($16.6M), A9555 ($11.3M) and J2785 ($1.8M) together account for 95.7% of the provider's total Medicare revenue, demonstrating extreme dependence on myocardial perfusion PET services for Medicare income. This concentration suggests that changes in coverage, reimbursement, or clinical guidelines for these specific services would materially affect overall Medicare revenue.
Medicaid billing shows a similar concentration pattern: the top three Medicaid codes 78431 ($702.3K), A9555 ($392.8K) and J2785 ($372.9K) together comprise 84.9% of the provider's total Medicaid revenue, indicating the same core service line drives the majority of Medicaid receipts. For payers and network planners, this means the provider is functionally a cardiac PET specialist for both Medicare and Medicaid populations within its operating geography.
Scale and payer mix are Medicare-dominant: lifetime Medicare revenue is $31.1M versus $1.7M in Medicaid, so Medicare is the primary revenue source by an order of magnitude. Analysts should treat this entity as effectively single-payer–dependent at scale, with Medicaid representing a much smaller portion of overall volume and financial exposure.
Competitive standing on Medicare is exceptional for its key services: the provider ranks #1 nationally for 78431 (rank #1 of 1377 providers, 100th percentile; labeled an extreme outlier), A9555 (rank #1 of 1266 providers, 100th percentile; extreme outlier) and J2785 (rank #1 of 6388 providers, 100th percentile; extreme outlier). These national top ranks indicate the provider is a dominant national volume leader for cardiac PET studies and related consumables, far above typical national volumes for these codes.
On Medicaid within Illinois the provider also occupies leading statewide positions for its core cardiac PET services: it ranks #1 in-state for 78431 (1 of 11 providers; 100th percentile; notably above typical state volume), A9555 (1 of 3 providers; 100th percentile; labeled typical/unremarkable in the state context) and J2785 (1 of 10 providers; 100th percentile; notably above typical state volume). This pattern signals both market leadership locally for PET myocardial imaging and some variability in how peer volumes distribute across different tracers or payers.
Operational throughput data reinforce the specialization: Medicare claim counts include 10.2K claims for 78431 and 16.2K claims for A9555, and Medicare shows 40.9K claims for J2785; Medicaid counts mirror this with 1.9K claims for 78431, 3.7K for A9555 and 5.2K for J2785. Those high claim volumes for a narrow set of procedure and supply codes are consistent with a focused, repeatable workflow (recurrent tracer administrations and stress protocols) rather than sporadic imaging services.
The provider has an established NPI (enumerated 2012-08-09, ~14 years ago), which implies multi-year operational continuity; however, the extreme revenue concentration on a few PET-related codes creates business risk if reimbursement, tracer supply (rubidium rb-82), or stress-agent utilization policies change. Payers assessing network value should weigh the provider's national leadership in cardiac PET capacity against the vulnerability that comes from reliance on a small number of high-volume services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 10,210 | $1,630 | $16.6M |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 16,250 | $700 | $11.3M |
| J2785 | Injection, regadenoson, 0.1 mg | 40,910 | $40 | $1.8M |
| 78434 | The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction… | 10,210 | $100 | $1M |
| 93017 | The provider records the electrical activity of the heart to examine for any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular intervals with the… | 10,210 | $30 | $296.1K |
| 78430 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 10 | $900 | $9.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 1,900 | $370 | $702.3K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3,710 | $110 | $392.8K |
| J2785 | Injection, regadenoson, 0.1 mg | 5,180 | $70 | $372.9K |
| 78492 | In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes… | 2,950 | $30 | $100.2K |
| 93017 | The provider records the electrical activity of the heart to examine for any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular intervals with the… | 5,200 | $20 | $98.7K |
| 78434 | The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction… | 1,880 | $30 | $62.2K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1 | 10 | 10 | $110 | $133K |
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 1 | 10 | 40 | $270 | $66.1K |
| 78492 | In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes… | 1 | 10 | 1,500 | $30 | $51.7K |
| J2785 | Injection, regadenoson, 0.1 mg | 1 | 10 | 30 | $70 | $39.2K |
| 93017 | The provider records the electrical activity of the heart to examine for any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular intervals with the… | 1 | 10 | 890 | $20 | $38.1K |
| 78434 | The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction… | 1 | 10 | 40 | $30 | $8.1K |
Other providers in the same ZIP code as Cardiac Imaging Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Novacare Services | IL | Nursing Care Agency | $0 | $6.5M |
| Village Of Villa Park Office Of The Treasurer | IL | Land Ambulance | $172.9K | $4.2M |
| Jibran Ahmed | IL | Family Medicine Physician | $936.6K | $263.1K |
| Jawwad Hussain | IL | Family Medicine Physician | $896.8K | $272.1K |
| Advanced Diagnostic Solutions Inc | IL | Clinical Medical Laboratory | $1.1M | $1.9K |
| Hanzla Quraishi | IL | Physical Medicine & Rehabilitation Physician | $736.8K | $60.1K |
| Gaurish Soni | IL | Physical Medicine & Rehabilitation Physician | $723.1K | $65.8K |
| Tonya Schreder | IL | Family Medicine Physician | $285K | $494.9K |
| Daniel Stagl | IL | Physical Medicine & Rehabilitation Physician | $506.4K | $7.3K |
| Joseph Coscino | IL | Podiatrist | $318.4K | $152.7K |
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