Medicaid Provider Spending

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

SOUTHLAKE MRI & DIAGNOSTIC CENTER LLC

NPI: 1134178148 · MERRILLVILLE, IN 46410 · Body Imaging Physician · NPI assigned 05/08/2006

$17K
Total Medicaid Paid
125
Total Claims
123
Beneficiaries
5
Codes Billed
2018-08
First Month
2023-11
Last Month

Provider Details

Authorized OfficialCHOPRA, RAMAN (PRINCIPAL)
NPI Enumeration Date05/08/2006

Related Entities

Other providers sharing the same authorized official: CHOPRA, RAMAN

ProviderCityStateTotal Paid
WICHITA PEDIATRIC ASSOCIATES WICHITA KS $98K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $0.00
2023 112 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
72148 Magnetic resonance imaging, lumbar spine; without contrast material 70 70 $12K
72141 15 15 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 14 13 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 12 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 13 13 $0.00