Medicaid Provider Spending

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

ARIZONA COAST WIDE OPEN MRI, PLLC

NPI: 1003113010 · LAKE HAVASU CITY, AZ 86403 · Magnetic Resonance Imaging (MRI) Clinic/Center · NPI assigned 02/28/2011

$10K
Total Medicaid Paid
378
Total Claims
368
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialDUNN, JACK (OWNER)
NPI Enumeration Date02/28/2011

Related Entities

Other providers sharing the same authorized official: DUNN, JACK

ProviderCityStateTotal Paid
JD GROUP SANTA CRUZ CA $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $2K
2020 69 $2K
2021 43 $1K
2022 159 $4K
2023 26 $527.98
2024 38 $738.09

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71046 Radiologic examination, chest; 2 views 340 332 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 12 $1K
72100 13 12 $283.58
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $0.00