Medicaid Provider Spending

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

TIDEWATER DIAGNOSTIC IMAGING LTD

NPI: 1073626396 · HAMPTON, VA 23666 · Diagnostic Radiology Physician · NPI assigned 08/17/2006

Deactivated NPI · This NPI was deactivated on 01/08/2019. Reactivated 01/11/2019.
$1.65M
Total Medicaid Paid
110,341
Total Claims
97,793
Beneficiaries
56
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialSHAMAIENGAR, RAVI (PRESIDENT)
NPI Enumeration Date08/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,188 $107K
2019 24,023 $309K
2020 18,312 $289K
2021 24,834 $409K
2022 28,207 $500K
2023 2,777 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 5,691 5,190 $323K
71046 Radiologic examination, chest; 2 views 38,176 34,766 $266K
77067 Screening mammography, bilateral, including computer-aided detection 5,666 5,435 $151K
70450 Computed tomography, head or brain; without contrast material 6,002 5,304 $137K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,074 1,871 $107K
77063 Screening digital breast tomosynthesis, bilateral 5,137 4,947 $106K
71045 Radiologic examination, chest; single view 20,873 17,136 $98K
71275 Computed tomographic angiography, chest, with contrast material 1,369 1,222 $73K
93975 973 845 $36K
76642 1,337 1,039 $27K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 936 806 $24K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 290 280 $21K
76801 590 508 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,042 939 $19K
76830 Ultrasound, transvaginal 747 620 $17K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 859 817 $17K
71260 Computed tomography, thorax, diagnostic; with contrast material 461 421 $15K
77066 Tomosynthesis, mammo 391 350 $12K
70486 444 408 $12K
73630 2,082 1,743 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 740 607 $11K
73562 1,786 1,473 $11K
70551 Magnetic resonance imaging, brain; without contrast material 233 214 $10K
74018 1,674 1,339 $9K
73610 1,509 1,330 $9K
73130 1,486 1,216 $9K
93970 434 395 $8K
73030 1,370 1,196 $8K
72110 854 789 $8K
71250 267 249 $8K
93976 337 296 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 293 268 $7K
77065 Tomosynthesis, mammo 285 247 $7K
93971 524 484 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 117 106 $5K
72125 Computed tomography, cervical spine; without contrast material 148 139 $5K
74022 362 331 $4K
73110 651 577 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 64 58 $3K
73502 536 453 $3K
73140 520 460 $2K
76770 88 82 $2K
74019 141 134 $1K
72050 129 117 $1K
76536 55 52 $974.08
73564 125 100 $795.06
72100 108 104 $786.39
70498 13 12 $767.01
73080 121 110 $661.65
73590 102 82 $525.15
73221 12 12 $510.00
73660 52 51 $242.41
71101 27 27 $178.24
70360 12 12 $85.09
77080 12 12 $84.41
73090 14 12 $73.07