TULSA XRAY LABORATORY, PLLC
NPI: 1144211582
· TULSA, OK 74135
· Diagnostic Radiology Physician
$2.11M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
5,833 |
$61K |
| 2022 |
35,463 |
$546K |
| 2023 |
40,615 |
$871K |
| 2024 |
29,300 |
$635K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
|
11,256 |
10,543 |
$744K |
| 71045 |
|
51,931 |
41,178 |
$277K |
| 70450 |
|
9,432 |
8,384 |
$254K |
| 74176 |
|
1,717 |
1,573 |
$100K |
| 76805 |
|
2,223 |
2,213 |
$93K |
| 71275 |
|
1,311 |
1,236 |
$82K |
| 77067 |
|
2,285 |
2,285 |
$71K |
| 71046 |
|
8,309 |
7,493 |
$58K |
| 76830 |
|
1,970 |
1,928 |
$53K |
| 76705 |
|
2,139 |
1,967 |
$44K |
| 76642 |
|
1,401 |
1,297 |
$36K |
| 72125 |
|
1,016 |
959 |
$35K |
| 71260 |
|
870 |
779 |
$32K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,215 |
1,179 |
$30K |
| 74018 |
|
4,312 |
3,696 |
$26K |
| 72148 |
|
469 |
413 |
$22K |
| 77066 |
Tomosynthesis, mammo |
552 |
517 |
$20K |
| 77065 |
Tomosynthesis, mammo |
574 |
513 |
$16K |
| 93976 |
|
428 |
413 |
$13K |
| 70553 |
|
131 |
115 |
$10K |
| 70498 |
|
141 |
130 |
$8K |
| 73630 |
|
1,208 |
1,144 |
$8K |
| 70496 |
|
113 |
105 |
$7K |
| 73721 |
|
133 |
121 |
$7K |
| 73562 |
|
930 |
860 |
$7K |
| 73130 |
|
871 |
845 |
$6K |
| 73610 |
|
919 |
880 |
$6K |
| 73030 |
|
865 |
797 |
$6K |
| 76815 |
|
162 |
155 |
$4K |
| 76856 |
|
149 |
146 |
$4K |
| 72100 |
|
553 |
519 |
$4K |
| 71250 |
|
146 |
119 |
$4K |
| 76770 |
|
176 |
156 |
$4K |
| 77063 |
|
139 |
139 |
$4K |
| 73221 |
|
54 |
52 |
$3K |
| 72141 |
|
78 |
60 |
$3K |
| 76801 |
|
54 |
54 |
$2K |
| 76817 |
|
64 |
62 |
$2K |
| 73110 |
|
262 |
252 |
$2K |
| 70551 |
|
27 |
26 |
$1K |
| 49083 |
|
13 |
12 |
$1K |
| 99152 |
|
215 |
175 |
$1K |
| 73502 |
|
202 |
172 |
$1K |
| 78815 |
|
17 |
14 |
$1K |
| 76536 |
|
48 |
48 |
$1K |
| 74178 |
|
15 |
13 |
$829.78 |
| 76819 |
|
13 |
12 |
$430.17 |
| 72040 |
|
27 |
27 |
$228.76 |
| 73090 |
|
30 |
29 |
$202.29 |
| 72020 |
|
46 |
41 |
$170.12 |