Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › LITTLE ROCK › ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC

ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC

NPI: 1023005253 · LITTLE ROCK, AR 72205 · Mammography Clinic/Center · NPI assigned 10/03/2005

$2K
Total Medicaid Paid
119
Total Claims
89
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialGEHL, JEROME (MEDICAL DIRECTOR)
NPI Enumeration Date10/03/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21 $0.00
2019 12 $375.37
2020 46 $76.39
2021 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 25 25 $1K
76642 82 52 $393.12
77063 Screening digital breast tomosynthesis, bilateral 12 12 $141.69