Physician
Tulsa Xray Laboratory, PLLC
Tulsa Xray Laboratory, PLLC was paid $2.11M by Medicaid between Oct 2021 and Dec 2024, across 50 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 35% of everything it billed.
33Billing provider infoTULSA XRAY LABORATORY, PLLC
TULSA, OK 74135
TULSA, OK 74135
33aNPI1144211582assigned 11/03/2005
33bProvider typeDiagnostic Radiology Physician
28Total paid$2.11M
24GClaims111,211
24DCodes billed50
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in Oklahoma
Rank by total paid#4 of 44
Median peer was paid$39K
This provider vs. median54×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 5,833 | $61K | |
| 2022 | 35,463 | $546K | |
| 2023 | 40,615 | $871K | |
| 2024incomplete | 29,300 | $635K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 35% | 11,256 | 10,543 | $744K |
| 71045 | Radiologic examination, chest; single view | 13% | 51,931 | 41,178 | $277K |
| 70450 | Computed tomography, head or brain; without contrast material | 12% | 9,432 | 8,384 | $254K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 4.7% | 1,717 | 1,573 | $100K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.4% | 2,223 | 2,213 | $93K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 3.9% | 1,311 | 1,236 | $82K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.4% | 2,285 | 2,285 | $71K |
| 71046 | Radiologic examination, chest; 2 views | 2.7% | 8,309 | 7,493 | $58K |
| 76830 | Ultrasound, transvaginal | 2.5% | 1,970 | 1,928 | $53K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 2.1% | 2,139 | 1,967 | $44K |
| 76642 | 1.7% | 1,401 | 1,297 | $36K | |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.7% | 1,016 | 959 | $35K |
38 more codes
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 1.5% | 870 | $32K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 1.4% | 1,215 | $30K |
| 74018 | 1.2% | 4,312 | $26K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 1.0% | 469 | $22K |
| 77066 | Tomosynthesis, mammo | <1% | 552 | $20K |
| 77065 | Tomosynthesis, mammo | <1% | 574 | $16K |
| 93976 | <1% | 428 | $13K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 131 | $10K |
| 70498 | <1% | 141 | $8K | |
| 73630 | <1% | 1,208 | $8K | |
| 70496 | <1% | 113 | $7K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 133 | $7K |
| 73562 | <1% | 930 | $7K | |
| 73130 | <1% | 871 | $6K | |
| 73610 | <1% | 919 | $6K | |
| 73030 | <1% | 865 | $6K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 162 | $4K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 149 | $4K |
| 72100 | <1% | 553 | $4K | |
| 71250 | <1% | 146 | $4K | |
| 76770 | <1% | 176 | $4K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 139 | $4K |
| 73221 | <1% | 54 | $3K | |
| 72141 | <1% | 78 | $3K | |
| 76801 | <1% | 54 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 64 | $2K |
| 73110 | <1% | 262 | $2K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 27 | $1K |
| 49083 | <1% | 13 | $1K | |
| 99152 | <1% | 215 | $1K | |
| 73502 | <1% | 202 | $1K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 17 | $1K |
| 76536 | <1% | 48 | $1K | |
| 74178 | <1% | 15 | $829.78 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 13 | $430.17 |
| 72040 | <1% | 27 | $228.76 | |
| 73090 | <1% | 30 | $202.29 | |
| 72020 | <1% | 46 | $170.12 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMARTENS, JASON (PRESIDENT)