IMAGE ONE A MEDICAL CORP
NPI: 1093585036
· SAN DIEGO, CA 92123
· Mammography Clinic/Center
· NPI assigned 01/02/2024
$130K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MOUSSAVIAN, MEHRAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
609 |
$130K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 75574 |
|
271 |
270 |
$112K |
| 75571 |
|
251 |
250 |
$14K |
| 76770 |
|
23 |
23 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$713.50 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$523.86 |
| 73562 |
|
13 |
13 |
$348.42 |
| 73630 |
|
12 |
12 |
$306.74 |