NOURANIFAR, RABIN

$1K

Total Medicaid Paid

304

Total Claims

288

Beneficiaries

5

Codes Billed

2021-05

First Month

2022-09

Last Month

Year	Claims	Total Paid
2021	199	$773.82
2022	105	$654.17

Code	Description	Claims	Beneficiaries	Total Paid
71045	Radiologic examination, chest; single view	186	173	$1K
71046	Radiologic examination, chest; 2 views	43	43	$279.20
74018		29	27	$99.81
G9637	Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)	27	26	$0.00
G9551	Final reports for imaging studies without an incidentally found lesion noted	19	19	$0.00

Medicaid Provider Spending