Medicaid Provider Spending

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

GREAT LAKES RADIOLOGY PLLC

NPI: 1154704948 · PONTIAC, MI 48341 · Radiography Radiologic Technologist · NPI assigned 06/30/2015

$99.60
Total Medicaid Paid
18
Total Claims
18
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialRUDRARAJU, VENICAT (OWNER)
NPI Enumeration Date06/30/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18 $99.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71046 Radiologic examination, chest; 2 views 18 18 $99.60