Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › FORT WAYNE › SUMMIT RADIOLOGY P C

SUMMIT RADIOLOGY P C

NPI: 1073584587 · FORT WAYNE, IN 46804 · Vascular & Interventional Radiology Physician · NPI assigned 02/01/2006

$11.58M
Total Medicaid Paid
738,073
Total Claims
623,849
Beneficiaries
127
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVISTON, FRAN (CEO)
NPI Enumeration Date02/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 119,320 $647K
2019 113,800 $1.68M
2020 91,993 $1.56M
2021 98,169 $1.70M
2022 106,290 $1.87M
2023 124,064 $2.41M
2024 84,437 $1.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 51,037 45,445 $2.66M
70450 Computed tomography, head or brain; without contrast material 64,707 56,110 $1.34M
74176 Computed tomography, abdomen and pelvis; without contrast material 23,830 21,315 $1.04M
71045 Radiologic examination, chest; single view 204,143 162,541 $863K
71275 Computed tomographic angiography, chest, with contrast material 16,500 14,770 $845K
71046 Radiologic examination, chest; 2 views 88,625 77,309 $494K
77067 Screening mammography, bilateral, including computer-aided detection 18,345 16,962 $379K
72125 Computed tomography, cervical spine; without contrast material 11,710 10,106 $311K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 6,479 5,844 $247K
77063 Screening digital breast tomosynthesis, bilateral 11,782 10,882 $223K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 4,932 4,391 $205K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,311 2,946 $192K
76705 Ultrasound, abdominal, real time with image documentation; limited 11,210 10,099 $186K
70551 Magnetic resonance imaging, brain; without contrast material 4,353 3,719 $157K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,337 3,890 $135K
74018 26,462 21,118 $117K
73630 22,304 18,047 $107K
72141 2,643 2,409 $104K
71250 4,002 3,568 $93K
78815 Positron emission tomography (PET) for limited area imaging 2,385 1,964 $92K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,175 2,830 $90K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,828 3,290 $85K
76830 Ultrasound, transvaginal 4,050 3,675 $81K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,586 2,919 $79K
73221 1,883 1,704 $73K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,410 2,112 $71K
73562 12,623 9,318 $67K
73610 12,266 10,421 $63K
76820 3,786 2,880 $61K
73130 12,166 9,559 $61K
76642 3,258 2,576 $58K
93976 2,200 1,957 $55K
73030 10,791 8,935 $55K
93971 4,969 4,436 $54K
76801 2,043 1,779 $54K
72100 7,786 6,961 $48K
71271 1,458 1,209 $45K
76536 2,420 2,206 $41K
76819 Fetal biophysical profile; without non-stress testing 1,519 1,049 $38K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,121 1,943 $36K
70486 1,441 1,273 $33K
93970 2,158 1,858 $32K
73110 6,296 5,106 $31K
70491 898 807 $30K
77066 Tomosynthesis, mammo 1,144 1,040 $28K
76770 1,425 1,281 $27K
70498 679 527 $26K
72110 3,147 2,839 $25K
73502 4,722 4,155 $25K
72131 982 862 $24K
76700 Ultrasound, abdominal, real time with image documentation; complete 939 837 $23K
70496 556 433 $19K
76870 952 840 $17K
73560 3,868 3,005 $16K
76775 1,024 918 $14K
74174 252 236 $13K
77080 2,829 2,649 $11K
77062 397 339 $11K
99152 1,277 1,006 $11K
74183 249 223 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 245 214 $11K
72040 1,655 1,533 $10K
93880 767 690 $10K
73718 255 218 $9K
72072 1,579 1,447 $9K
74022 1,141 1,038 $9K
77065 Tomosynthesis, mammo 650 569 $8K
72050 913 830 $7K
73080 1,496 1,287 $7K
73590 1,460 1,191 $6K
99232 Subsequent hospital care, per day, moderate complexity 208 120 $6K
73090 1,201 1,019 $5K
73700 251 217 $5K
73140 1,192 979 $4K
93925 260 240 $4K
72146 118 111 $4K
78226 204 190 $4K
72128 169 151 $3K
74230 183 164 $3K
74019 392 336 $2K
73522 341 308 $2K
71101 442 401 $2K
49083 92 36 $2K
74178 30 28 $1K
72158 28 25 $1K
72020 399 346 $1K
99153 Mod sedat endo service >5yrs 377 248 $1K
72170 345 278 $1K
76937 243 193 $1K
99233 Prolong inpt eval add15 m 21 14 $948.80
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42 28 $892.73
78306 45 38 $851.38
70360 167 148 $806.11
73552 221 183 $669.82
73060 236 202 $593.71
78580 28 26 $483.27
78264 15 15 $420.93
76376 57 56 $406.49
G0297 Low dose ct scan (ldct) for lung cancer screening 48 45 $391.29
73564 72 51 $343.38
76377 17 14 $327.20
77012 14 14 $184.70
73070 45 39 $176.01
76942 17 13 $174.91
78227 41 41 $157.32
73600 34 16 $146.22
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 17 13 $144.19
73100 16 14 $101.07
72220 67 63 $95.08
72070 14 14 $80.28
93922 12 12 $64.36
76882 15 15 $57.72
76857 17 14 $46.02
71100 30 25 $27.60
73000 15 12 $25.20
73650 14 12 $20.20
73620 12 12 $20.02
77002 12 12 $16.36
73660 14 12 $15.33
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) 1,816 1,438 $0.00
7025F 77 77 $0.00
G9756 Surgical procedures that included the use of silicone oil 573 493 $0.00
G9327 Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements 190 154 $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 71 68 $0.00
3341F 14 13 $0.00
77001 15 13 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 636 585 $0.00