Medicaid Provider Spending

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

GEM STATE RADIOLOGY LLP

NPI: 1083661508 · BOISE, ID 83706 · Diagnostic Radiology Physician · NPI assigned 05/29/2006

$3.81M
Total Medicaid Paid
194,636
Total Claims
184,899
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALDWIN, WAYNE (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/29/2006

Related Entities

Other providers sharing the same authorized official: BALDWIN, WAYNE

ProviderCityStateTotal Paid
INTERMOUNTAIN MEDICAL IMAGING LLC MERIDIAN ID $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,671 $337K
2019 24,849 $379K
2020 29,052 $595K
2021 31,116 $679K
2022 32,884 $708K
2023 26,738 $581K
2024 25,326 $533K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 30,773 30,040 $1.81M
70450 Computed tomography, head or brain; without contrast material 18,613 17,949 $470K
71045 Radiologic examination, chest; single view 83,611 77,234 $468K
77067 Screening mammography, bilateral, including computer-aided detection 10,137 9,870 $215K
71046 Radiologic examination, chest; 2 views 21,147 20,544 $153K
71275 Computed tomographic angiography, chest, with contrast material 1,588 1,536 $86K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,560 1,503 $74K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,396 2,361 $52K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,363 1,336 $51K
72125 Computed tomography, cervical spine; without contrast material 1,589 1,548 $50K
74176 Computed tomography, abdomen and pelvis; without contrast material 983 949 $50K
76642 1,677 1,451 $48K
93976 1,548 1,503 $47K
76830 Ultrasound, transvaginal 1,579 1,551 $42K
76801 693 672 $27K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 550 539 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 984 964 $26K
70551 Magnetic resonance imaging, brain; without contrast material 382 379 $18K
77063 Screening digital breast tomosynthesis, bilateral 7,134 6,986 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 316 292 $8K
74018 1,184 1,100 $7K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 378 366 $7K
73221 153 147 $7K
73630 1,069 1,000 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 193 181 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 83 82 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 143 138 $5K
70498 99 96 $5K
73610 683 654 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 103 101 $4K
70496 77 74 $3K
72100 406 400 $3K
77066 Tomosynthesis, mammo 70 68 $2K
73030 343 328 $2K
73130 308 284 $2K
72141 40 39 $2K
36573 12 12 $2K
77080 240 235 $919.48
78815 Positron emission tomography (PET) for limited area imaging 15 15 $910.23
73110 131 120 $825.40
93971 51 50 $679.26
93975 15 14 $667.40
77065 Tomosynthesis, mammo 28 27 $554.73
73564 68 54 $539.24
72040 28 27 $220.47
73502 48 38 $219.70
73562 29 28 $164.66
73560 16 14 $72.27