BERGENLINE X RAY DIAGNOSTIC CENTER CORP
NPI: 1073787826
· UNION CITY, NJ 07087
· Radiology Clinic/Center
· NPI assigned 04/14/2008
$1.18M
Total Medicaid Paid
Provider Details
| Authorized Official | RODRIGUEZ, PEDRO (PRESIDENT/CEO) |
| NPI Enumeration Date | 04/14/2008 |
Related Entities
Other providers sharing the same authorized official: RODRIGUEZ, PEDRO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,091 |
$310K |
| 2019 |
5,925 |
$252K |
| 2020 |
2,890 |
$100K |
| 2021 |
4,410 |
$152K |
| 2022 |
4,050 |
$137K |
| 2023 |
3,800 |
$142K |
| 2024 |
2,799 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
8,943 |
8,862 |
$452K |
| 76641 |
|
3,992 |
2,543 |
$207K |
| 76830 |
Ultrasound, transvaginal |
1,390 |
1,376 |
$91K |
| 77080 |
|
3,732 |
3,678 |
$88K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,683 |
1,663 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
6,215 |
6,117 |
$85K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,211 |
1,203 |
$64K |
| 77066 |
Tomosynthesis, mammo |
686 |
675 |
$52K |
| 72110 |
|
1,378 |
1,364 |
$30K |
| 73562 |
|
1,158 |
765 |
$16K |
| 76820 |
|
104 |
98 |
$4K |
| 72052 |
|
155 |
155 |
$4K |
| 73030 |
|
135 |
116 |
$2K |
| 76377 |
|
67 |
64 |
$1K |
| 73130 |
|
79 |
45 |
$1K |
| 76770 |
|
24 |
24 |
$694.29 |
| 76536 |
|
13 |
12 |
$368.46 |