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

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

Advanced Radiology P A (NPI 1932167178)

Key Findings

Field	Value
Entity Type	Organization
Organization	Advanced Radiology P A
Address	21 Crossroads Dr Ste 100
City	Owings Mills
State	MD
ZIP	21117
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicaid	$41.4M
Medicare	$0

ADVANCED RADIOLOGY P A is effectively a Medicaid-focused imaging provider with $41.4M in lifetime Medicaid revenue and no Medicare billing on file; its NPI was enumerated on 2006-05-03 (~20 years ago), indicating long-standing activity in the market. The absence of Medicare claims makes this a single-payer (Medicaid) revenue profile for available data, concentrating commercial/Medicare exposure risk outside the observed dataset.

Revenue concentration is material: the precomputed top three Medicaid codes (77067, 72148, 77063) account for 36.7% of the provider’s total Medicaid revenue. Those three codes are high-dollar contributors individually — 77067 $7.8M (20.8%), 72148 $3M (8.1%), and 77063 $2.9M (7.8%) — showing a tight revenue concentration around screening mammography and spine MRI.

The CPT code mix points to an outpatient multi‑modality radiology operation that prioritizes breast imaging and MRI services: screening and diagnostic mammography codes 77067, 77063, 77066, and targeted ultrasound 76642 are among the largest revenue drivers, while multiple MRI codes (72148, 72141, 70551, 70553, 73721, 73221) and advanced imaging such as PET/CT 78815 and CT 74177/74176 also contribute meaningfully. This spread suggests the provider runs high-throughput mammography/breast-imaging services alongside a broad MRI and cross-sectional imaging platform, likely supporting both screening and diagnostic referrals.

Competitive standing within Maryland is dominant for multiple lines: 77067, 72148, 77063, 73721, 78815 and numerous other codes rank #1 in-state and are flagged as “extreme outlier” (100th percentile), indicating volumes far above typical state peers for those services. Even where the provider is not #1, it appears near the top (examples include 74177 at #3, 70450 at #3, and 71046 at #2), reinforcing a statewide leadership position across several core modalities.

Operational throughput is reflected in very high claim counts on key codes — for example, 77067 has 83.1K claims, 77063 has 77.6K claims, and 71046 has 86.4K claims — consistent with a large imaging network or centralized facility handling substantial screening and routine diagnostic volume. Those claim volumes, paired with the average paid/claim levels reported, support the large aggregate Medicaid revenues observed.

Ancillary supply and injection services are also prominent and consistent with in-house advanced imaging: A9552 (FDG for PET) appears with 5.2K claims and $1.1M revenue (3.0%), A9575 (gadoterate meglumine) shows 15.8K claims and $567.6K revenue (1.5%), and Q9967 (low osmolar contrast) has 16.8K claims and $385.5K revenue (1.0%). These items and their #1 in-state ranks indicate the provider administers radiopharmaceuticals and contrast agents at scale, supporting a PET/CT and MRI-heavy service mix.

The breadth of high-volume codes across mammography, ultrasound, MRI, CT, and PET/CT — many labeled as “extreme outlier” or “notably above typical” in-state — implies a wide referral footprint and diversified modality capability within Medicaid, reducing reliance on any single exam type for patient intake but still leaving revenue concentrated in the top three codes. Examples across modalities include CT abdomen/pelvis 74177 ($2.1M, #3, 98th percentile), pelvic/transvaginal ultrasound 76830 ($1.7M, #1, 100th percentile), and PET/CT 78815 ($2.5M, #1, 100th percentile).

From a business risk perspective, the combination of a single-payer (Medicaid-only) recorded revenue stream and significant revenue concentration in a few codes (top 3 = 36.7%) suggests sensitivity to Medicaid reimbursement changes and to demand shifts in breast imaging and MRI. While the provider demonstrates clear state-level dominance in multiple modalities, analysts should note that any policy or reimbursement changes affecting screening mammography, spine MRI, or PET/CT could have outsized impacts on the $41.4M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

136 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…	83,090	$90	$7.8M
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	23,640	$130	$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…	77,560	$40	$2.9M
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	18,250	$140	$2.6M
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.…	6,420	$380	$2.5M
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.	26,670	$80	$2.1M
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.	26,480	$70	$1.7M
76642	In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.	29,000	$60	$1.6M
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…	28,820	$60	$1.6M
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	5,160	$220	$1.1M

Showing 1–10 of 136

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Advanced Radiology P A — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

136 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…	1	50	590	$90	$493.6K
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…	14	20	280	$70	$290.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	15	60	370	$70	$195.6K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	1	30	80	$150	$183.1K
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.…	1	20	80	$310	$177.5K
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…	1	40	760	$40	$171.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	1	40	150	$120	$169K
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…	3	20	140	$150	$161.8K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	4	60	270	$90	$155.3K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	1	10	110	$120	$152K

Showing 1–10 of 136

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maximum Day Services, LLC	MD	Adult Day Care Clinic/Center	$0	$19.1M
Lifeway Adult Medical Day Center, LLC	MD	Adult Day Care Clinic/Center	$0	$15.7M
Maximum Day Services Ii, LLC	MD	Adult Day Care Clinic/Center	$0	$13.5M
All Staffing, Inc.	MD	Home Health Agency	$0	$12.6M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$12.4M
Progress Unlimited Medical Adult Day Program And Wellness Center	MD	Adult Day Care Clinic/Center	$0	$11.1M
Gaudenzia Inc	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.3M
Advanced Pain Management Specialists, LLC	MD	Clinical Medical Laboratory	$0	$8.8M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$8.7M
Avalon Laboratory Solutions	MD	Clinical Medical Laboratory	$0	$7.1M

Advanced Radiology P A — Billing Profile & Reimbursement Data

Sign up for Advanced Radiology P A — Billing Profile & Reimbursement Data policy alerts

Advanced Radiology P A — Billing Profile & Reimbursement Data

Sign up for Advanced Radiology P A — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ethan Spiegler	MD	Nuclear Radiology Physician	$2.9M	$0
Frederic Yeganeh	MD	Diagnostic Radiology Physician	$2.8M	$0
Danilo Espinola	MD	Nuclear Radiology Physician	$1.8M	$0
Kevin Berger	MD	Diagnostic Radiology Physician	$1.6M	$0
L Harris Mccorkle	MD	Diagnostic Radiology Physician	$1.3M	$0
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
Hardeep Singh	MD	Diagnostic Radiology Physician	$1.1M	$0
Laurence Goldstein	MD	Diagnostic Radiology Physician	$1M	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Ruby Chang	CA	Diagnostic Radiology Physician	$914.2K	$0