CENTRO RADIOLOGICO DE LA MONTANA PSC
NPI: 1164851804
· NARANJITO, PR 00719
· Mammography Clinic/Center
· NPI assigned 11/04/2013
$1.14M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
405 |
$18K |
| 2021 |
1,942 |
$87K |
| 2022 |
2,181 |
$153K |
| 2023 |
2,569 |
$244K |
| 2024 |
5,706 |
$634K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
3,184 |
2,271 |
$370K |
| 77066 |
Tomosynthesis, mammo |
2,432 |
1,720 |
$274K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,363 |
1,712 |
$177K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
994 |
708 |
$83K |
| 76536 |
|
578 |
410 |
$52K |
| 76830 |
Ultrasound, transvaginal |
444 |
299 |
$45K |
| 77080 |
|
711 |
484 |
$39K |
| 76770 |
|
217 |
153 |
$23K |
| 76881 |
|
258 |
137 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
511 |
346 |
$12K |
| 73560 |
|
465 |
238 |
$12K |
| 72100 |
|
370 |
245 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
95 |
69 |
$7K |
| 72084 |
|
41 |
26 |
$4K |
| 74018 |
|
59 |
39 |
$2K |
| 72040 |
|
36 |
29 |
$1K |
| 73030 |
|
22 |
12 |
$785.68 |
| 73120 |
|
23 |
13 |
$773.94 |