GRAND AVENUE IMAGING
NPI: 1154520989
· LOS ANGELES, CA 90015
· Mammography Clinic/Center
· NPI assigned 07/12/2007
$365K
Total Medicaid Paid
Provider Details
| Authorized Official | EASON, GENE (ADMINISTRATOR) |
| NPI Enumeration Date | 07/12/2007 |
Related Entities
Other providers sharing the same authorized official: EASON, GENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$35.88 |
| 2021 |
43 |
$566.91 |
| 2022 |
832 |
$43K |
| 2023 |
3,330 |
$169K |
| 2024 |
4,359 |
$152K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,722 |
3,717 |
$286K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,497 |
4,461 |
$58K |
| 76641 |
|
270 |
207 |
$14K |
| 77066 |
Tomosynthesis, mammo |
88 |
88 |
$7K |