Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOLMAZ MODEER

NPI: 1003088832 · CHULA VISTA, CA 91911 · Clinical Medical Laboratory · NPI assigned 04/01/2008

$37K
Total Medicaid Paid
375
Total Claims
373
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialMODEER, SOLMAZ (OWNER/DIRECTOR)
Parent OrganizationWESTERN DIAGNOSTIC IMAGING CENTER
NPI Enumeration Date04/01/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 348 $34K
2019 27 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93978 152 152 $21K
76700 Ultrasound, abdominal, real time with image documentation; complete 170 170 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 13 13 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 13 $1K
76830 Ultrasound, transvaginal 13 12 $742.79
77080 13 13 $510.26