Medicaid Provider Spending

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

TULSA XRAY LABORATORY, PLLC

NPI: 1144211582 · TULSA, OK 74135 · Diagnostic Radiology Physician · NPI assigned 11/03/2005

$2.11M
Total Medicaid Paid
111,211
Total Claims
95,846
Beneficiaries
50
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTENS, JASON (PRESIDENT)
NPI Enumeration Date11/03/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 5,833 $61K
2022 35,463 $546K
2023 40,615 $871K
2024 29,300 $635K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 11,256 10,543 $744K
71045 Radiologic examination, chest; single view 51,931 41,178 $277K
70450 Computed tomography, head or brain; without contrast material 9,432 8,384 $254K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,717 1,573 $100K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,223 2,213 $93K
71275 Computed tomographic angiography, chest, with contrast material 1,311 1,236 $82K
77067 Screening mammography, bilateral, including computer-aided detection 2,285 2,285 $71K
71046 Radiologic examination, chest; 2 views 8,309 7,493 $58K
76830 Ultrasound, transvaginal 1,970 1,928 $53K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,139 1,967 $44K
76642 1,401 1,297 $36K
72125 Computed tomography, cervical spine; without contrast material 1,016 959 $35K
71260 Computed tomography, thorax, diagnostic; with contrast material 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 Magnetic resonance imaging, lumbar spine; without contrast material 469 413 $22K
77066 Tomosynthesis, mammo 552 517 $20K
77065 Tomosynthesis, mammo 574 513 $16K
93976 428 413 $13K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 131 115 $10K
70498 141 130 $8K
73630 1,208 1,144 $8K
70496 113 105 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 133 121 $7K
73562 930 860 $7K
73130 871 845 $6K
73610 919 880 $6K
73030 865 797 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 162 155 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 149 146 $4K
72100 553 519 $4K
71250 146 119 $4K
76770 176 156 $4K
77063 Screening digital breast tomosynthesis, bilateral 139 139 $4K
73221 54 52 $3K
72141 78 60 $3K
76801 54 54 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 64 62 $2K
73110 262 252 $2K
70551 Magnetic resonance imaging, brain; without contrast material 27 26 $1K
49083 13 12 $1K
99152 215 175 $1K
73502 202 172 $1K
78815 Positron emission tomography (PET) for limited area imaging 17 14 $1K
76536 48 48 $1K
74178 15 13 $829.78
76819 Fetal biophysical profile; without non-stress testing 13 12 $430.17
72040 27 27 $228.76
73090 30 29 $202.29
72020 46 41 $170.12