SAN GERMAN X RAY & BODY IMAGING CENTER, PSC.
NPI: 1003871583
· SAN GERMAN, PR 00683
· 174400000X
$1.16M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,159 |
$117K |
| 2019 |
1,285 |
$47K |
| 2020 |
1,062 |
$58K |
| 2021 |
1,765 |
$94K |
| 2022 |
2,451 |
$176K |
| 2023 |
3,428 |
$247K |
| 2024 |
5,088 |
$422K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
|
4,847 |
4,165 |
$391K |
| 76641 |
|
2,388 |
2,099 |
$202K |
| 76536 |
|
1,827 |
1,640 |
$119K |
| 76700 |
|
1,545 |
1,374 |
$114K |
| 77066 |
Tomosynthesis, mammo |
1,130 |
962 |
$100K |
| 76856 |
|
821 |
722 |
$54K |
| 76830 |
|
574 |
472 |
$45K |
| 76770 |
|
623 |
538 |
$43K |
| 71046 |
|
1,101 |
958 |
$20K |
| 77080 |
|
769 |
640 |
$17K |
| 72100 |
|
721 |
607 |
$17K |
| 72148 |
|
54 |
41 |
$9K |
| 76376 |
|
619 |
548 |
$7K |
| 73560 |
|
354 |
314 |
$7K |
| 72040 |
|
274 |
233 |
$7K |
| 74018 |
|
274 |
230 |
$5K |
| 73030 |
|
114 |
83 |
$2K |
| 71045 |
|
97 |
74 |
$2K |
| 73620 |
|
52 |
38 |
$1K |
| 77065 |
Tomosynthesis, mammo |
30 |
29 |
$1K |
| G0202 |
Scr mammo bi incl cad |
24 |
24 |
$0.00 |