Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ARIZONA STATE RADIOLOGY, PC

NPI: 1104877711 · TUCSON, AZ 85718 · Diagnostic Radiology Physician · NPI assigned 05/16/2006

$360K
Total Medicaid Paid
28,734
Total Claims
24,949
Beneficiaries
14
Codes Billed
2018-01
First Month
2021-02
Last Month

Provider Details

Authorized OfficialREBEIL-DE LA ROSA, JOSE (VICE PRES)
NPI Enumeration Date05/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,792 $140K
2019 9,978 $139K
2020 6,889 $68K
2021 1,075 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71045 Radiologic examination, chest; single view 14,855 12,320 $85K
70450 Computed tomography, head or brain; without contrast material 2,901 2,603 $72K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,011 973 $65K
71046 Radiologic examination, chest; 2 views 7,319 6,659 $51K
74176 Computed tomography, abdomen and pelvis; without contrast material 682 623 $36K
77067 Screening mammography, bilateral, including computer-aided detection 1,491 1,344 $35K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 79 71 $7K
93976 175 156 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 114 109 $2K
70551 Magnetic resonance imaging, brain; without contrast material 16 13 $459.30
73630 46 38 $222.27
76642 14 12 $210.68
74300 12 12 $165.71
77080 19 16 $67.02