WIDJAJA, ELYSA
NPI: 1184331522
· CHICAGO, IL 60611
· Pediatric Radiology Physician
· NPI assigned 11/04/2022
$109K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
622 |
$60K |
| 2024 |
619 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
643 |
633 |
$56K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
312 |
284 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
218 |
206 |
$16K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
43 |
43 |
$4K |
| 72146 |
|
13 |
13 |
$1K |
| 72141 |
|
12 |
12 |
$1K |