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

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

Southwest Diagnostic Imaging LLC (NPI 1902896236)

Southwest Diagnostic Imaging LLC is a diagnostic radiology physician provider located in Scottsdale, Arizona. This profile covers 0 Medicare and 117 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	Southwest Diagnostic Imaging LLC
Address	3501 N Scottsdale Road
City	Scottsdale
State	AZ
ZIP	85251
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	October 27, 2005

Payer Source	Total Paid
Medicaid	$23.8M
Medicare	$0

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

117 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	77,370	$70	$5.1M
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.	86,670	$20	$2.1M
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…	20,180	$80	$1.7M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	32,730	$50	$1.7M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	289,890	$10	$1.4M
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…	113,470	$10	$1.1M
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.…	2,350	$400	$949K
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…	6,160	$140	$875.3K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	14,280	$60	$785.6K
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…	9,900	$80	$742.6K

Showing 1–10 of 117

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Southwest Diagnostic Imaging LLC — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	2	180	1,490	$320	$2.2M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3	150	1,040	$240	$764.4K
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.	3	180	1,770	$80	$635.2K
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…	7	70	260	$270	$570.2K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	8	110	1,070	$170	$482K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	2	100	1,350	$170	$475.8K
49083	In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…	6	40	440	$190	$284.3K
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.…	2	30	240	$460	$260.6K
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…	6	140	580	$70	$251.3K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	44	110	210	$360	$242.1K

Showing 1–10 of 117

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Eric Kovalsky	AZ	Diagnostic Radiology Physician	$1.5M	$0
Joseph Judge	IL	Diagnostic Radiology Physician	$395.1K	$998.5K
Jared Criddle	AZ	Diagnostic Radiology Physician	$1.2M	$0
John Millstine	CA	Diagnostic Radiology Physician	$1.2M	$0
Reema Munir	CA	Diagnostic Radiology Physician	$949.4K	$0
Dinesh Sundarakumar	TX	Diagnostic Radiology Physician	$916K	$0
Christopher May	AZ	Diagnostic Radiology Physician	$854.8K	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Andrew Kwak	NJ	Diagnostic Radiology Physician	$808.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smi Imaging, LLC	AZ	Diagnostic Radiology Physician	$0	$90.4M
Honorhealth	AZ	General Acute Care Hospital	$0	$47M
Kssw Inc	AZ	In Home Supportive Care Agency	$0	$17.9M
Head To Toe Therapy Inc	AZ	Children's Hospital	$0	$11.6M
Ch Mh Services (az), LLC	AZ	Adolescent and Children Mental Health Clinic/Center	$0	$10.1M
Circular Valley Care LLC	AZ	Private Vehicle	$0	$9M
Hope Light Homecare LLC	AZ	PACE Provider Organization	$0	$7.9M
New Horizons Behavioral Health	AZ	Multi-Specialty Clinic/Center	$0	$7.3M
Michael Manning	AZ	Allergy & Immunology Physician	$4.6M	$0
Brian Lee	AZ	Otolaryngology/Facial Plastic Surgery Physician	$1.6M	$0

Southwest Diagnostic Imaging LLC — Billing Profile & Reimbursement Data

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Southwest Diagnostic Imaging LLC — 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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