Medicaid Provider Spending

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

PREMIERESCAN PC

NPI: 1083720304 · SAN JOSE, CA 95116 · Radiology Clinic/Center · NPI assigned 08/21/2006

$10K
Total Medicaid Paid
240
Total Claims
163
Beneficiary Records
6
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialSEMIDES, BRITTANY (DIRECTOR OF OPERATIONS)
NPI Enumeration Date08/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 240 $10K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 104 64 $6K
76641 43 28 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 37 27 $987.68
93975 17 15 $788.31
76830 Ultrasound, transvaginal 22 14 $608.85
76700 Ultrasound, abdominal, real time with image documentation; complete 17 15 $398.53