MONTEHIEDRA CT & MRI CENTER LLC.
NPI: 1093820086
· SAN JUAN, PR 00926
· Radiology Clinic/Center
· NPI assigned 08/20/2006
$616K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,241 |
$55K |
| 2019 |
1,116 |
$63K |
| 2020 |
943 |
$65K |
| 2021 |
1,867 |
$135K |
| 2022 |
871 |
$71K |
| 2023 |
1,203 |
$96K |
| 2024 |
1,726 |
$130K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
3,168 |
1,954 |
$246K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,228 |
1,954 |
$161K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,004 |
895 |
$75K |
| 77066 |
Tomosynthesis, mammo |
355 |
313 |
$35K |
| 76830 |
Ultrasound, transvaginal |
443 |
415 |
$32K |
| 76536 |
|
341 |
300 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
581 |
506 |
$11K |
| 76770 |
|
142 |
95 |
$11K |
| 72100 |
|
393 |
352 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
99 |
94 |
$7K |
| 73560 |
|
111 |
69 |
$2K |
| 72040 |
|
57 |
49 |
$1K |
| 77080 |
|
29 |
27 |
$962.93 |
| 73030 |
|
16 |
13 |
$248.32 |