Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
VA
›
SOUTH BOSTON
› SAN PEDRO, ELMER
SAN PEDRO, ELMER
NPI: 1174532535 · SOUTH BOSTON, VA 24592 ·
Diagnostic Radiology Physician
· NPI assigned 08/05/2006
$2K
Total Medicaid Paid
635
Total Claims
335
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
635
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
71045
Radiologic examination, chest; single view
360
200
$1K
71046
Radiologic examination, chest; 2 views
275
135
$1K