SOUTH SHORE NEUROLOGIC ASSOCIATES PC
NPI: 1083782460
· PATCHOGUE, NY 11772
· Magnetic Resonance Imaging (MRI) Clinic/Center
· NPI assigned 12/01/2006
$186K
Total Medicaid Paid
Provider Details
| Authorized Official | MORETA, HENRY (PRESIDENT) |
| NPI Enumeration Date | 12/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$16K |
| 2019 |
72 |
$19K |
| 2020 |
205 |
$60K |
| 2021 |
267 |
$84K |
| 2022 |
26 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
460 |
460 |
$131K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
88 |
88 |
$37K |
| 72141 |
|
39 |
39 |
$10K |
| 70544 |
|
13 |
13 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$3K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
13 |
12 |
$345.11 |