Medicaid Provider Spending

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

ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC

NPI: 1003415613 · PALMDALE, CA 93551 · Diagnostic Radiology Physician · NPI assigned 10/23/2020

$7K
Total Medicaid Paid
1,263
Total Claims
1,242
Beneficiaries
8
Codes Billed
2022-04
First Month
2023-04
Last Month

Provider Details

Authorized OfficialMIRZABEGIAN, EDWARD (MANAGER)
NPI Enumeration Date10/23/2020

Related Entities

Other providers sharing the same authorized official: MIRZABEGIAN, EDWARD

ProviderCityStateTotal Paid
ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC LANCASTER CA $183K
ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC LANCASTER CA $246.40
ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC PALMDALE CA $133.56

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 791 $5K
2023 472 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 89 77 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 162 162 $1K
77067 Screening mammography, bilateral, including computer-aided detection 471 471 $808.08
71046 Radiologic examination, chest; 2 views 416 416 $381.48
73562 25 17 $46.30
72100 40 39 $29.99
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 30 30 $0.00
76830 Ultrasound, transvaginal 30 30 $0.00