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A9576
Injection, gadoteridol, (prohance multipack), per ml
Medicaid paid $5.90M on code A9576 from 2018 through 2024, to 156 providers — the #2,420 code in the file by dollars. 47% of it was billed in Utah.
28Total paid$5.90M
24GClaims107,084
Paid per claim line$55.13
33Providers billing it156
Box 32 · Location
Where A9576 is billed
The largest of 32 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing A9576
| # | Provider | Location | Claims | Paid on A9576 |
|---|---|---|---|---|
| 1 | University of Utah | Salt Lake City, UT | 7,161 | $2.76M |
| 2 | Spartanburg Medical Center | Spartanburg, SC | 2,251 | $1.46M |
| 3 | Boston Medical Center Corporation | Boston, MA | 7,874 | $348K |
| 4 | South Broward Hospital District | Hollywood, FL | 3,125 | $293K |
| 5 | H. Lee Moffitt Cancer Center and Research Institute Hospital, INC. | Tampa, FL | 3,439 | $180K |
| 6 | University of Rochester | Rochester, NY | 2,884 | $70K |
| 7 | CP Advanced Imaging PLLC | New York, NY | 3,898 | $70K |
| 8 | Dignity Health | Phoenix, AZ | 7,057 | $67K |
| 9 | ST. Mary's Medical Center, INC | West Palm Beach, FL | 675 | $62K |
| 10 | Pelham Medical Center | Greer, SC | 105 | $59K |
| 11 | Renaissance Imaging Medical Associates, INC. | Austin, TX | 5,544 | $49K |
| 12 | Alameda Health System | Oakland, CA | 298 | $45K |
| 13 | South Broward Hospital District | Miramar, FL | 493 | $45K |
| 14 | South Broward Hospital District | Pembroke Pines, FL | 520 | $43K |
| 15 | Baptist Health Deaconess Madisonville INC | Madisonville, KY | 414 | $31K |
| 16 | U of R Neurology Department | Rochester, NY | 1,240 | $27K |
| 17 | City Hospital, INC | Martinsburg, WV | 1,100 | $26K |
| 18 | Logan General Hospital LLC | Logan, WV | 307 | $23K |
| 19 | Baxter County Regional Hospital, INC | Mountain Home, AR | 358 | $21K |
| 20 | Auburn Community Hospital | Auburn, NY | 491 | $18K |
| 21 | Harrison Memorial Hospital | Cynthiana, KY | 268 | $18K |
| 22 | ST. Vincent Infirmary Medical Center | Sherwood, AR | 975 | $14K |
| 23 | Ifrc, LLC | Fairfax, VA | 847 | $13K |
| 24 | Okanogan County Public Hospital District No. 3 | Omak, WA | 206 | $13K |
| 25 | Reynolds Memorial Hospital, INC | Glen Dale, WV | 143 | $11K |
| 26 | Charleston Area Medical Center INC | Charleston, WV | 240 | $10K |
| 27 | Highland Hospital of Rochester | Rochester, NY | 444 | $8K |
| 28 | Cherokee Medical Center | Gaffney, SC | 14 | $8K |
| 29 | The Frederick Ferris Thompson Hospital | Canandaigua, NY | 354 | $7K |
| 30 | ST Vincent Infirmary Medical Center | Little Rock, AR | 554 | $7K |
| 31 | Ellis Hospital | Schenectady, NY | 206 | $6K |
| 32 | Samaritan Medical Center | Watertown, NY | 412 | $5K |
| 33 | University of California Irvine | Orange, CA | 732 | $5K |
| 34 | Okanogan County Public Hospital Dist No 4 | Tonasket, WA | 14 | $5K |
| 35 | Optum Medical Care, P.C. | Mount Kisco, NY | 654 | $4K |
| 36 | Inova Reston Mri Center LLC | Herndon, VA | 1,059 | $4K |
| 37 | Wenatchee Valley Hospital | Wenatchee, WA | 243 | $4K |
| 38 | Fallahi, Pouneh | New York, NY | 1,085 | $4K |
| 39 | Stockdale Radiology Physicians Services, INC | Bakersfield, CA | 271 | $4K |
| 40 | Law, Amy | New York, NY | 1,012 | $4K |
| 41 | Nandu, Hari | Manhattan Beach, CA | 980 | $3K |
| 42 | Pieroni, Sabrina | New York, NY | 920 | $3K |
| 43 | Lo, Calvin | New York, NY | 1,027 | $3K |
| 44 | Cabusora, Lawrence | New York, NY | 855 | $3K |
| 45 | University Medical Imaging PC | Rochester, NY | 118 | $3K |
| 46 | Advanced Imaging LLC | Albuquerque, NM | 135 | $3K |
| 47 | Westmoreland Hospital Association | Greensburg, PA | 347 | $2K |
| 48 | Our Lady of Bellefonte Hospital INC | Ashland, KY | 40 | $2K |
| 49 | Androscoggin Valley Hospital, INC. | Berlin, NH | 15 | $2K |
| 50 | Benefis Hospitals, INC. | Great Falls, MT | 2,377 | $2K |
| 51 | Meadowview Regional Medical Center LLC | Maysville, KY | 47 | $2K |
| 52 | Osborne, Heather | New York, NY | 556 | $2K |
| 53 | ST Bernards Hospital INC | Jonesboro, AR | 58 | $2K |
| 54 | New York Network Ipa INC | Brooklyn, NY | 80 | $2K |
| 55 | The Health Care Authority of the City of Huntsville | Huntsville, AL | 245 | $1K |
| 56 | Faculty Physicians and Surgeons of Llusm | Loma Linda, CA | 111 | $1K |
| 57 | ST. Peter's Health | Helena, MT | 1,843 | $1K |
| 58 | ST James Hospital | Hornell, NY | 27 | $1K |
| 59 | Jay Lerman MD PC | Brooklyn, NY | 111 | $1K |
| 60 | Raleigh General Hospital LLC | Beckley, WV | 188 | $1K |
| 61 | Focus Medical Imaging | Monrovia, CA | 13 | $1K |
| 62 | Upmc Magee-Womens Hospital | Pittsburgh, PA | 350 | $902.56 |
| 63 | Chattanooga Hamilton County Hospital Authority | Chattanooga, TN | 333 | $886.62 |
| 64 | ST Mary Medical Center INC | Hobart, IN | 20 | $870.10 |
| 65 | Phoebe Putney Memorial Hospital INC | Albany, GA | 30 | $859.66 |
| 66 | Guam X-Ray | Tamuning, GU | 45 | $859.05 |
| 67 | Rochester General Hospital | Rochester, NY | 32 | $578.26 |
| 68 | VHS Acquisition Subsidiary Number 7 INC | Worcester, MA | 115 | $553.38 |
| 69 | Northgate Medical Imaging LLC | New Albany, IN | 616 | $537.23 |
| 70 | Concord Hospital-Laconia | Laconia, NH | 53 | $444.87 |
| 71 | Lawrence Memorial Health Foundation INC. | Walnut Ridge, AR | 25 | $385.76 |
| 72 | Frick Hospital | Mt Pleasant, PA | 193 | $376.95 |
| 73 | Middletown Medical PC | Middletown, NY | 15 | $374.50 |
| 74 | Innovative Medical Imaging, PLLC | Twin Falls, ID | 24 | $356.89 |
| 75 | The Unity Hospital of Rochester | Rochester, NY | 14 | $356.20 |
| 76 | South Shore Neurologic Associates PC | Patchogue, NY | 13 | $345.11 |
| 77 | Inova Health Care Services | Waldorf, MD | 32 | $330.70 |
| 78 | Regents of the University of Michigan | Ann Arbor, MI | 11,608 | $324.03 |
| 79 | Nicholas H. Noyes Memorial Hospital | Dansville, NY | 25 | $319.67 |
| 80 | Slocum Dickson Medical Group PLLC | New Hartford, NY | 12 | $291.00 |
| 81 | Wheeling Hospital INC | Wheeling, WV | 489 | $241.54 |
| 82 | Artesia General Hospital | Artesia, NM | 29 | $241.10 |
| 83 | RCHP Billings - Missoula LLC | Missoula, MT | 429 | $231.96 |
| 84 | Kern Radiology Medical Group, INC | Bakersfield, CA | 12 | $207.17 |
| 85 | Oneida Health Systems, INC | Oneida, NY | 31 | $206.03 |
| 86 | Antelope Valley Outpatient Imaging Center, LLC | Lancaster, CA | 24 | $174.83 |
| 87 | Uc Regents | Orange, CA | 43 | $169.09 |
| 88 | Inspira Medical Centers, INC. | Vineland, NJ | 123 | $138.11 |
| 89 | Latrobe Area Hospital, INC. | Latrobe, PA | 189 | $125.57 |
| 90 | Bon Secours ST. Mary's Hospital of Richmond LLC | Richmond, VA | 1,515 | $113.08 |
| 91 | Community Hospital Group INC | Edison, NJ | 13 | $106.57 |
| 92 | Scranton Quincy Hospital Company LLC | Scranton, PA | 78 | $104.34 |
| 93 | Hattiesburg Clinic PA | Hattiesburg, MS | 150 | $103.66 |
| 94 | Kingman Healthcare, INC | Kingman, AZ | 110 | $98.39 |
| 95 | Mawan Shuayto MD PC | Port Huron, MI | 1,204 | $93.34 |
| 96 | Jhaveri, Miral | Chicago, IL | 48 | $77.14 |
| 97 | Seton Imaging Radiology PLLC | Buffalo, NY | 12 | $66.10 |
| 98 | VHS Harper-Hutzel Hospital INC | Detroit, MI | 3,059 | $60.00 |
| 99 | Bhabad, Sudeep | Chicago, IL | 30 | $54.62 |
| 100 | Kuang, Barbara | New York, NY | 15 | $50.90 |