Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN LUIS OBISPO › MAGNETIC RESONANCE IMAGING OF SAN LUIS OBISPO, INC.

MAGNETIC RESONANCE IMAGING OF SAN LUIS OBISPO, INC.

NPI: 1003187881 · SAN LUIS OBISPO, CA 93405 · Diagnostic Radiology Physician · NPI assigned 01/25/2012

$6K
Total Medicaid Paid
314
Total Claims
313
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialKRISHNASWAMY, JAIKUMAR (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date01/25/2012

Related Entities

Other providers sharing the same authorized official: KRISHNASWAMY, JAIKUMAR

ProviderCityStateTotal Paid
MODESTO RADIOLOGY IMAGING, INC. MODESTO CA $10.73M
TURLOCK IMAGING SERVICES, LLC TURLOCK CA $160K
PLEASANTON DIAGNOSTIC IMAGING, INC. PLEASANTON CA $329.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $439.21
2019 80 $3K
2020 120 $436.25
2021 99 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 144 144 $4K
77063 Screening digital breast tomosynthesis, bilateral 143 142 $1K
71046 Radiologic examination, chest; 2 views 27 27 $722.68