PACIFIC MOBILE IMAGING LLC
NPI: 1093038275
· HONOLULU, HI 96814
· Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
· NPI assigned 03/02/2010
$287K
Total Medicaid Paid
Provider Details
| Authorized Official | HANNUM, ERIC (OWNER) |
| NPI Enumeration Date | 03/02/2010 |
Related Entities
Other providers sharing the same authorized official: HANNUM, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
3,226 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
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 |
3,586 |
3,051 |
$49K |
| Q0092 |
Set-up portable x-ray equipment |
8,301 |
6,652 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
4,165 |
3,505 |
$29K |
| 74018 |
|
814 |
695 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
552 |
505 |
$4K |
| 74019 |
|
173 |
151 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
24 |
24 |
$145.68 |