Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
202244$6K
2023839$134K
2024incomplete848$126K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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