Clinic
Tellica Imaging, LLC
Tellica Imaging, LLC was paid $266K by Medicaid between Aug 2022 and Nov 2024, across 9 billing codes. Its largest line is 73721, Magnetic resonance imaging, any joint of lower extremity; without contrast material — 28% of everything it billed.
33Billing provider infoTELLICA IMAGING, LLC
OGDEN, UT 84403
OGDEN, UT 84403
33aNPI1144802802assigned 04/22/2021
33bProvider typeRadiology Clinic/Center
28Total paid$266K
24GClaims1,731
24DCodes billed9
24AFirst – last monthAug 2022 – Nov 2024
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 | |
|---|---|---|---|
| 2022 | 44 | $6K | |
| 2023 | 839 | $134K | |
| 2024incomplete | 848 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 28% | 512 | 464 | $73K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 22% | 171 | 166 | $58K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 19% | 396 | 382 | $51K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 9.9% | 147 | 142 | $26K |
| 72141 | 8.6% | 185 | 180 | $23K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 4.4% | 41 | 40 | $12K |
| 73221 | 4.2% | 81 | 76 | $11K | |
| 71250 | 3.4% | 184 | 63 | $9K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 14 | 13 | $1K |
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 officialISAACSON, BRAD (PRESIDENT)
Parent organizationINTERMOUNTAIN HEALTHCARE