Medicaid Provider Spending

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

TELLICA IMAGING, LLC

NPI: 1144802802 · OGDEN, UT 84403 · Radiology Clinic/Center · NPI assigned 04/22/2021

$266K
Total Medicaid Paid
1,731
Total Claims
1,526
Beneficiaries
9
Codes Billed
2022-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialISAACSON, BRAD (PRESIDENT)
Parent OrganizationINTERMOUNTAIN HEALTHCARE
NPI Enumeration Date04/22/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 44 $6K
2023 839 $134K
2024 848 $126K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 512 464 $73K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 171 166 $58K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 396 382 $51K
74177 Computed tomography, abdomen and pelvis; with contrast material 147 142 $26K
72141 185 180 $23K
70551 Magnetic resonance imaging, brain; without contrast material 41 40 $12K
73221 81 76 $11K
71250 184 63 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material 14 13 $1K