Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › ARDMORE › RADIOLOGY SERVICES OF ARDMORE, INC.

RADIOLOGY SERVICES OF ARDMORE, INC.

NPI: 1124123963 · ARDMORE, OK 73401 · Nuclear Radiology Physician · NPI assigned 09/14/2006

$29K
Total Medicaid Paid
11,502
Total Claims
10,091
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialDIBRELL-GARCIA, JULIE (MANAGER)
NPI Enumeration Date09/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,910 $9K
2019 3,789 $9K
2020 2,562 $4K
2021 1,846 $3K
2022 1,267 $2K
2023 128 $82.59

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71045 Radiologic examination, chest; single view 8,173 6,835 $10K
70450 Computed tomography, head or brain; without contrast material 1,329 1,291 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 245 243 $5K
71046 Radiologic examination, chest; 2 views 1,401 1,379 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 87 84 $2K
72100 158 156 $297.46
71275 Computed tomographic angiography, chest, with contrast material 13 13 $99.55
73562 14 13 $88.92
74018 28 24 $74.06
73630 14 14 $71.12
73030 12 12 $64.66
73610 13 13 $62.95
73502 15 14 $21.55