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.

Smi Imaging, LLC (NPI 1972004489)

Key Findings

Field	Value
Entity Type	Organization
Organization	Smi Imaging, LLC
Address	6740 E Camelback Rd Ste 100
City	Scottsdale
State	AZ
ZIP	85251
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	February 21, 2018

Payer Source	Total Paid
Medicaid	$90.4M
Medicare	$0

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while lifetime Medicaid revenue is $90.4M, indicating the organization’s billed activity is overwhelmingly concentrated in Medicaid. Analysts should treat any Medicare-based comparisons as not applicable for this NPI.

Revenue is concentrated in a small set of imaging codes: the top three Medicaid codes (77067, 72148, 70553) account for 31.3% of the provider’s Medicaid revenue. Those three are listed individually as 77067 ($10.6M; 15.0%), 72148 ($6.7M; 9.4%), and 70553 ($5M; 7.0%), showing that screening mammography and high‑volume MRI procedures are the primary revenue drivers.

Service mix indicates a strong breast imaging and screening operation: 77067 (119.1K claims, $89 avg, $10.6M) and 77063 (117.7K claims, $33 avg, $3.9M), along with breast ultrasound codes 76642 and 76641, point to very high-volume mammography and targeted breast ultrasound activity consistent with a dedicated breast imaging center or large outpatient imaging network focused on screening and diagnostic mammography.

The provider also demonstrates broad MRI capacity across body regions: high-volume MRI codes include 72148 (lumbar MRI), 70553/70551 (brain MRI both non‑contrast and with/without contrast), 72141 (cervical MRI), 73721 (lower extremity MRI), and 73221 (upper extremity MRI). These code volumes and associated revenues support an operational model with substantial MRI scanner access and throughput.

Competitive standing in-state is dominant for many modalities: multiple high-revenue codes rank at #1 and are labeled “extreme outlier” (100th percentile) versus peers — examples include 77067, 72148, 70553, 77063, 70551, 72141, 73721 and numerous ultrasound and CT codes. This pattern indicates the provider is a major in‑state player for a wide set of imaging services rather than a modest participant.

There are a few services with more typical or mixed competitive footprints: 74176 (rank #8 of 150; 95th percentile) and 74177 (rank #48 of 175; 73th percentile) are described as typical, unremarkable volumes, while 71046 (rank #3 of 303; 99th percentile) and 93975 (rank #2 of 50; 98th percentile) are notably above typical state volume. These contrasts suggest exceptional dominance in core imaging lines with more conventional participation in certain CT abdominal protocols.

The provider offers higher-cost and specialty imaging capabilities: 78815 (PET/CT, $2.1M revenue, $610 avg paid/claim) and A9584 (Iodine 1-123 ioflupane, $1.9M revenue, $1519 avg paid/claim) indicate access to PET/CT and nuclear medicine studies. A9584 is billed only by this provider in-state (rank #1 of 1 providers; no state peer volume comparison available), underscoring a unique or concentrated role in that specific nuclear diagnostic agent.

The NPI was enumerated on 2018-02-21 (~8 years ago); achieving a $90.4M Medicaid lifetime revenue within that timeframe signals rapid scale in Medicaid-facing imaging volume. For payer strategy and network decisions, this combination of relatively recent enumeration and large Medicaid throughput suggests an established, high-capacity outpatient imaging operation focused on Medicaid populations.

Medicaid: Complete Services Breakdown

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

170 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…	119,050	$90	$10.6M
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	58,360	$110	$6.7M
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…	25,280	$200	$5M
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	35,990	$130	$4.7M
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…	52,180	$80	$4.2M
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…	117,660	$30	$3.9M
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	28,170	$120	$3.4M
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	28,350	$110	$3.2M
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	22,290	$110	$2.4M
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…	109,150	$20	$2.3M

Showing 1–10 of 170

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

Smi Imaging, LLC — 23 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

170 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.	48	180	1,490	$320	$2.2M
A9584	Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries	1	10	1,230	$1,520	$1.9M
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.	8	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.	47	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…	1	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.	85	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…	68	100	1,350	$170	$475.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	54	240	660	$120	$309.1K
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	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…	1	140	580	$70	$251.3K

Showing 1–10 of 170

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Honorhealth	AZ	General Acute Care Hospital	$0	$47M
Southwest Diagnostic Imaging LLC	AZ	Diagnostic Radiology Physician	$0	$23.8M
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

Smi Imaging, LLC — Billing Profile & Reimbursement Data

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Smi Imaging, LLC — Billing Profile & Reimbursement Data

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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