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    OpenPayerNPI Medicare & MedicaidAdvanced Radiology, Inc.
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    Advanced Radiology, Inc. — Billing Profile & Reimbursement Data

    NPI 1780638494 · Cumberland, RI · Diagnostic Radiology Physician

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    Advanced Radiology, Inc. is a diagnostic radiology physician provider located in Cumberland, Rhode Island. This profile covers 0 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAdvanced Radiology, Inc.
    Address525 Broad St
    CityCumberland
    StateRI
    ZIP02864
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicaid$412.4K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In 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…4,510$30$121.7K
    72100The 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…1,930$20$38.6K
    76856A 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…530$60$32.1K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.400$60$24.8K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…430$60$24.6K
    72084In this diagnostic procedure, the provider takes a minimum six X–ray images of the entire thoracic (upper and middle) and lumbar (lower) spine from different projections (directions or angles) to…400$60$22.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.1,430$20$21.5K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.1,170$20$21K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.840$20$16.8K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.980$20$16.7K

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    76856A 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…1040160$110$89.6K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.1650110$100$72K
    76700An 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…1020110$70$67.9K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…830250$90$60.5K
    71046In 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…10130260$30$52K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.264070$70$40.6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.1020190$80$37.3K
    76705An 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…154040$70$28.3K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.223050$60$26.7K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.1240160$30$24.4K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roman KlufasMANeuroradiology Physician$475.7K$441.9K
    David ChengRIDiagnostic Radiology Physician$151.2K$577.9K
    Krishanu GuptaRIDiagnostic Radiology Physician$85.3K$594K
    Donnella ComeauRIDiagnostic Radiology Physician$71.2K$26.5K
    Laura RomoMADiagnostic Radiology Physician$87.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Advanced Radiology, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ocean State Nursing Services, IncRIHome Health Agency$0$21.7M
    Michael KlufasRIGeriatric Medicine (Internal Medicine) Physician$68.4K$6.1M
    Autumn Villa Inc.RIAssisted Living Facility$0$5.5M
    Open Mri Of New England, Inc.RIDiagnostic Radiology Physician$0$2.1M
    Pulmonary And Sleep Office Of New England, PCRIPulmonary Disease Physician$0$1.9M
    William ChanRIPediatric Dentistry$0$1.4M
    Cumberland Public SchoolsRILocal Education Agency (LEA)$0$1.4M
    Lincare Inc.RIDurable Medical Equipment & Medical Supplies$0$1.4M
    Denise GoodmanRIPediatric Dentistry$0$1.3M
    Prima IncRIPediatrics Physician$0$1M

    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.

    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Advanced Radiology, Inc. — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island