Supplier
Pacific Mobile Imaging LLC
Pacific Mobile Imaging LLC was paid $287K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is R0070, Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen — 53% of everything it billed.
33Billing provider infoPACIFIC MOBILE IMAGING LLC
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1093038275assigned 03/02/2010
33bProvider typePortable X-ray and/or Other Portable Diagnostic Imaging Supplier
28Total paid$287K
24GClaims22,666
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,675 | $45K | |
| 2019 | 4,071 | $49K | |
| 2020 | 3,149 | $41K | |
| 2021 | 2,880 | $37K | |
| 2022 | 2,741 | $36K | |
| 2023 | 2,924 | $40K | |
| 2024incomplete | 3,226 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 53% | 5,051 | 4,318 | $151K |
| R0075 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen | 17% | 3,586 | 3,051 | $49K |
| Q0092 | Set-up portable x-ray equipment | 15% | 8,301 | 6,652 | $42K |
| 71045 | Radiologic examination, chest; single view | 10% | 4,165 | 3,505 | $29K |
| 74018 | 3.0% | 814 | 695 | $9K | |
| 71046 | Radiologic examination, chest; 2 views | 1.6% | 552 | 505 | $4K |
| 74019 | <1% | 173 | 151 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 24 | 24 | $145.68 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHANNUM, ERIC (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Inteleretina Professional Group LLC | Honolulu, HI | $2K |
| Insight Eeg LLC | Honolulu, HI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.