LEVITTOWN IMAGING CENTER INC.
NPI: 1013260348
· TOA BAJA, PR 00950
· Radiology Clinic/Center
· NPI assigned 10/24/2012
$218K
Total Medicaid Paid
Provider Details
| Authorized Official | BONILLA, MONICA (PRESIDENT) |
| NPI Enumeration Date | 10/24/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
774 |
$33K |
| 2019 |
604 |
$16K |
| 2020 |
313 |
$16K |
| 2021 |
438 |
$26K |
| 2022 |
316 |
$26K |
| 2023 |
675 |
$58K |
| 2024 |
450 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,877 |
1,698 |
$115K |
| 76641 |
|
1,049 |
826 |
$68K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
247 |
226 |
$16K |
| 76830 |
Ultrasound, transvaginal |
135 |
125 |
$10K |
| 77066 |
Tomosynthesis, mammo |
105 |
84 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
32 |
$2K |
| 72100 |
|
72 |
64 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
36 |
$613.97 |
| 77080 |
|
16 |
16 |
$450.02 |