Medicaid Provider Spending

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

NPI: 1073565115 · EDMOND, OK 73034 · Diagnostic Radiology Physician · NPI assigned 05/17/2006

$4K
Total Medicaid Paid
472
Total Claims
470
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialJACKSON, BECKY (BILLING OFFICE MANAGER)
NPI Enumeration Date05/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 295 $3K
2019 177 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
70210 391 389 $3K
71046 81 81 $998.26