Medicaid Provider Spending

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

AQ RENAISSANCE IMAGING LLC

NPI: 1053088195 · PERTH AMBOY, NJ 08861 · Radiology Clinic/Center · NPI assigned 08/26/2021

$17K
Total Medicaid Paid
338
Total Claims
336
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVEDAWALA, BHAVIKA (OWNER)
NPI Enumeration Date08/26/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 94 $5K
2024 244 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 235 234 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete 31 30 $2K
77080 35 35 $678.76
72100 25 25 $440.15
71046 Radiologic examination, chest; 2 views 12 12 $151.20