CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC
NPI: 1063694453
· SAN SEBASTIAN, PR 00685
· Diagnostic Radiology Physician
· NPI assigned 11/28/2007
$1.85M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: RODRIGUEZ VAZQUEZ, EDUARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,188 |
$127K |
| 2019 |
7,606 |
$319K |
| 2020 |
2,939 |
$160K |
| 2021 |
4,532 |
$273K |
| 2022 |
4,303 |
$327K |
| 2023 |
5,076 |
$401K |
| 2024 |
2,931 |
$246K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
21,206 |
19,429 |
$1.47M |
| 76641 |
|
1,488 |
1,399 |
$81K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
914 |
888 |
$72K |
| 76830 |
Ultrasound, transvaginal |
670 |
652 |
$52K |
| 76536 |
|
468 |
450 |
$38K |
| 77066 |
Tomosynthesis, mammo |
554 |
524 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
1,237 |
1,198 |
$24K |
| 72100 |
|
964 |
939 |
$23K |
| 76770 |
|
256 |
251 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
571 |
551 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
84 |
83 |
$7K |
| 72040 |
|
186 |
182 |
$5K |
| 77080 |
|
159 |
147 |
$4K |
| 74018 |
|
277 |
256 |
$3K |
| 73560 |
|
243 |
222 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
42 |
$2K |
| 73030 |
|
101 |
92 |
$1K |
| 73562 |
|
28 |
27 |
$951.72 |
| 73630 |
|
28 |
27 |
$781.20 |
| 73620 |
|
42 |
39 |
$263.01 |
| 73600 |
|
14 |
12 |
$63.28 |
| 70250 |
|
29 |
26 |
$0.00 |
| 73120 |
|
14 |
14 |
$0.00 |