Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HARTSDALE DIAGNOSTIC AND WOMENS IMAGING SERVICES PC

NPI: 1023123809 · HARTSDALE, NY 10530 · Diagnostic Radiology Physician · NPI assigned 08/20/2006

$5K
Total Medicaid Paid
90
Total Claims
90
Beneficiaries
2
Codes Billed
2021-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialDAVIS, JONATHAN (OWNER)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: DAVIS, JONATHAN

ProviderCityStateTotal Paid
CORPUS CHRISTI HOSPITALISTS, PLLC CORPUS CHRISTI TX $764K
DECATUR FAMILY EYE CARE LLC DECATUR AL $539K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 64 $3K
2022 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 45 45 $3K
77063 Screening digital breast tomosynthesis, bilateral 45 45 $1K