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    OpenPayerNPI Medicare & MedicaidDiagnostic Health Mri Of Gadsden, LLC
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    Diagnostic Health Mri Of Gadsden, LLC — Billing Profile & Reimbursement Data

    NPI 1811945306 · Huntsville, AL · Radiology Clinic/Center

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    Diagnostic Health Mri Of Gadsden, LLC is a radiology clinic/center provider located in Huntsville, Alabama. This profile covers 70 Medicare and 10 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)

    FieldValue
    Entity TypeOrganization
    OrganizationDiagnostic Health Mri Of Gadsden, LLC
    Address115 Saint Clair Ave Se
    CityHuntsville
    StateAL
    ZIP35801
    TaxonomyRadiology Clinic/Center
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$673.4K
    Medicaid$9.3K

    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.

    70 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…1,670$110$183.6K
    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…1,600$50$76.9K
    70553In 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…250$230$57.9K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.260$130$34.5K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…740$30$25K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.180$130$23.2K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.170$100$16.7K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.130$120$15.4K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.220$70$15.3K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.160$90$15.3K

    Showing 1–10 of 70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 70 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    70 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    770672330140$60$13.2K
    74177258360110$80$9.7K
    770632290140$30$7.9K
    70450274340200$30$6.7K
    70553926040$120$6.6K
    7417620336080$60$5.9K
    72148434050$90$5.6K
    74183566030$110$5.2K
    9388017548040$80$4.8K
    939258322020$110$4.1K

    Showing 1–10 of 70

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In 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…50$130$6.8K
    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…90$10$1.1K
    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…40$30$980
    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.50$10$330
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.20$20$230
    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…180$0$0
    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…410$0$0
    A9575Injection, gadoterate meglumine, 0.1 ml60$0$0
    A9585Injection, gadobutrol, 0.1 ml20$0$0
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    70553In 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…1220120$180$97.9K
    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…176250370$10$24.6K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.6580130$10$23.7K
    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…930290$20$10.4K
    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…2230100$40$10K
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml5660190$1$2.5K
    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.51050$30$1.6K
    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…1020100$1$1.1K
    A9585Injection, gadobutrol, 0.1 ml210580$1$150
    A9575Injection, gadoterate meglumine, 0.1 ml310220$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Diagnostic Health Mri Of Gadsden, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Timothy BakerALDiagnostic Radiology Physician$963.3K$0
    Darrin JohnsonMNDiagnostic Radiology Physician$908.4K$0
    Kevin WaldropALDiagnostic Radiology Physician$633.5K$0
    Steven TishlerALDiagnostic Radiology Physician$428.6K$0
    Diagnostic Health Mri Of Gadsden, LLCALRadiology Clinic/Center$416.3K$0
    John MccartyALDiagnostic Radiology Physician$371.7K$0
    Michael BrooksALDiagnostic Radiology Physician$340K$0
    Douglas SutherlandALDiagnostic Radiology Physician$321.9K$0
    Josephine NdoloALDiagnostic Radiology Physician$321K$0
    Michael SmithALDiagnostic Radiology Physician$311.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Diagnostic Health Mri Of Gadsden, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Valley Neonatology, IncALNeonatal-Perinatal Medicine Physician$0$22.2M
    The Health Care Authority Of The City Of HuntsvilleALGeneral Acute Care Hospital$0$17.8M
    Happi HealthALFederally Qualified Health Center (FQHC)$0$17.6M
    Emergency Physicians GroupALEmergency Medicine Physician$0$13.5M
    Healthgroup Of AlabamaALContractor$0$13.4M
    The Valley FoundationALMulti-Specialty Clinic/Center$0$11.3M
    David WhiteALNeurology Physician$7M$0
    The Children's Hospital Of AlabamaALPediatric Pulmonology Physician$0$5.6M
    Huntsville Pediatric Associates, LLCALPediatrics Physician$0$4.8M
    Dental Associates Of Huntsville, LLCALGeneral Practice Dentistry$0$4.7M

    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. Alabama Distribution
    Diagnostic Health Mri Of Gadsden, LLC — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Diagnostic Health Mri Of Gadsden, LLC — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama