Medicaid Provider Spending

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

PROFESSIONAL RADIOLOGY INC.

NPI: 1043348014 · BLUE ASH, OH 45242 · Diagnostic Radiology Physician · NPI assigned 03/01/2007

$3.14M
Total Medicaid Paid
254,597
Total Claims
219,798
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMERCHANT, THOMAS (CFO)
NPI Enumeration Date03/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,293 $445K
2019 38,248 $406K
2020 35,008 $384K
2021 38,430 $439K
2022 39,336 $512K
2023 28,642 $426K
2024 31,640 $530K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
70450 Computed tomography, head or brain; without contrast material 24,659 21,842 $555K
71045 Radiologic examination, chest; single view 113,689 91,225 $516K
74177 Computed tomography, abdomen and pelvis; with contrast material 13,541 12,444 $477K
74176 Computed tomography, abdomen and pelvis; without contrast material 10,255 9,357 $351K
77067 Screening mammography, bilateral, including computer-aided detection 15,991 15,181 $306K
77063 Screening digital breast tomosynthesis, bilateral 11,105 10,447 $226K
71046 Radiologic examination, chest; 2 views 35,046 32,108 $221K
71275 Computed tomographic angiography, chest, with contrast material 2,829 2,678 $140K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,003 916 $65K
76642 1,908 1,574 $40K
72125 Computed tomography, cervical spine; without contrast material 1,375 1,319 $30K
71250 1,470 1,388 $29K
71260 Computed tomography, thorax, diagnostic; with contrast material 660 642 $23K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,295 1,200 $18K
73630 3,224 2,889 $18K
72100 2,259 2,192 $15K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 390 367 $14K
74018 2,417 1,835 $10K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 242 214 $9K
99152 1,621 1,369 $8K
73610 1,404 1,306 $8K
73030 1,387 1,287 $7K
73130 1,252 1,130 $7K
73562 1,128 987 $7K
70551 Magnetic resonance imaging, brain; without contrast material 161 152 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 262 238 $6K
77066 Tomosynthesis, mammo 180 156 $4K
73502 554 532 $3K
70498 81 78 $3K
76830 Ultrasound, transvaginal 58 50 $2K
76536 97 93 $1K
74022 168 166 $1K
70496 44 44 $1K
72040 208 207 $1K
72141 31 30 $1K
76376 565 525 $1K
73110 208 197 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 25 25 $1K
77001 200 161 $1K
77065 Tomosynthesis, mammo 107 100 $978.98
76700 Ultrasound, abdominal, real time with image documentation; complete 28 26 $686.72
76770 49 49 $664.92
76937 112 93 $597.00
72131 24 24 $530.68
93971 46 39 $523.69
70486 25 25 $502.36
73560 78 72 $319.13
73590 31 27 $125.87
74230 13 13 $83.55
77062 41 30 $21.13
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 93 93 $0.00
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 846 566 $0.00
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 40 38 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 72 52 $0.00