Clinic
Grand Avenue Imaging
Grand Avenue Imaging was paid $365K by Medicaid between Oct 2019 and Dec 2024, across 4 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 78% of everything it billed.
33Billing provider infoGRAND AVENUE IMAGING
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
33aNPI1154520989assigned 07/12/2007
33bProvider typeMammography Clinic/Center
28Total paid$365K
24GClaims8,577
24DCodes billed4
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Mammography Clinic/Center providers in California
Rank by total paid#5 of 13
Median peer was paid$130K
This provider vs. median2.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2019 | 13 | $35.88 | |
| 2021 | 43 | $566.91 | |
| 2022 | 832 | $43K | |
| 2023 | 3,330 | $169K | |
| 2024incomplete | 4,359 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 78% | 3,722 | 3,717 | $286K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 16% | 4,497 | 4,461 | $58K |
| 76641 | 3.9% | 270 | 207 | $14K | |
| 77066 | Tomosynthesis, mammo | 2.0% | 88 | 88 | $7K |
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 officialEASON, GENE (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Broadway Mammography, LLC | Los Angeles, CA | $115K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.