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

Why is the Medicaid comparison limited to New York 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. New York (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.

Cp Advanced Imaging PLLC (NPI 1790736551)

Cp Advanced Imaging PLLC is a diagnostic radiology physician provider located in New York, New York. This profile covers 0 Medicare and 62 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Cp Advanced Imaging PLLC
Address	155 Canal St
City	New York
State	NY
ZIP	10013
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$24.3M
Medicare	$0

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

62 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…	48,590	$150	$7M
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	21,610	$110	$2.4M
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…	25,380	$90	$2.3M
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…	33,280	$60	$1.9M
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.	12,710	$120	$1.5M
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	8,440	$170	$1.4M
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	2,740	$400	$1.1M
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…	23,020	$30	$759.5K
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.	4,040	$130	$517.5K
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…	1,350	$370	$495.7K

Showing 1–10 of 62

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Cp Advanced Imaging PLLC — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

62 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…	5	490	840	$90	$323.6K
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.	500	810	220	$150	$230.6K
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…	40	240	120	$260	$185.5K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	7	410	290	$80	$185.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	937	970	330	$100	$181.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	172	210	150	$220	$158.8K
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…	135	770	340	$130	$154.1K
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…	4	670	250	$110	$150.7K
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.	88	840	460	$80	$139.7K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	5	290	240	$130	$131.3K

Showing 1–10 of 62

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Lautin	NY	Diagnostic Radiology Physician	$115.5K	$469.6K
Hari Nandu	CA	Student in an Organized Health Care Education/Training Program	$75.9K	$457.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chinese-american Planning Council Home Attendant Program, Inc.	NY	Home Health Agency	$0	$541.6M
Adj Fi Inc.	NY	Home Health Agency	$0	$165.5M
Wengs Group Ny Inc	NY	Home Health Agency	$0	$144.7M
Chinatown True Care Medical PLLC	NY	Internal Medicine Physician	$0	$94.9M
Healthy Care Ny Inc	NY	Home Health Agency	$0	$91.2M
Charles B. Wang Community Health Center, Inc.	NY	Federally Qualified Health Center (FQHC)	$0	$77.3M
Lh Wellbeing Care Inc	NY	Health Maintenance Organization	$0	$76.2M
Infinicare Inc.	NY	Home Health Agency	$0	$70.4M
Infinicare Inc.	NY	Home Health Agency	$0	$61.9M
Excelsior Integrated Medical Group, PLLC	NY	Specialist	$0	$57.7M

Cp Advanced Imaging PLLC — Billing Profile & Reimbursement Data

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Cp Advanced Imaging PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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