Medicaid Provider Spending

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

SDXRAY & LAB INC

NPI: 1043408586 · DIAMOND BAR, CA 91765 · 291U00000X

$4K
Total Medicaid Paid
4,336
Total Claims
3,743
Beneficiaries
12
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,989 $2K
2019 2,113 $2K
2020 234 $110.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
85025 1,905 1,561 $2K
80053 758 689 $1K
84443 409 393 $574.96
80061 316 305 $355.28
P9604 One-way allow prorated trip 265 215 $97.81
36415 397 318 $82.27
80164 87 76 $66.16
83036 58 53 $42.52
80178 13 13 $38.59
82306 13 13 $24.54
80159 29 28 $20.14
99000 86 79 $17.95