Physician
Grand Lake Imaging PC
Grand Lake Imaging PC was paid $224K by Medicaid between Oct 2021 and Dec 2024, across 24 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 25% of everything it billed.
33Billing provider infoGRAND LAKE IMAGING PC
GROVE, OK 74344
GROVE, OK 74344
33aNPI1184684011assigned 03/24/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$224K
24GClaims13,976
24DCodes billed24
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in Oklahoma
Rank by total paid#14 of 44
Median peer was paid$39K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2021 | 933 | $13K | |
| 2022 | 4,376 | $72K | |
| 2023 | 5,380 | $85K | |
| 2024incomplete | 3,287 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 25% | 860 | 850 | $57K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 17% | 630 | 629 | $38K |
| 70450 | Computed tomography, head or brain; without contrast material | 13% | 1,122 | 1,088 | $29K |
| 71045 | Radiologic examination, chest; single view | 9.9% | 4,166 | 3,655 | $22K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.6% | 309 | 309 | $13K |
| 71046 | Radiologic examination, chest; 2 views | 4.3% | 1,223 | 1,205 | $10K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 3.2% | 322 | 319 | $7K |
| 73562 | 2.8% | 868 | 849 | $6K | |
| 73630 | 2.7% | 826 | 806 | $6K | |
| 73610 | 2.4% | 784 | 764 | $5K | |
| 73130 | 2.4% | 717 | 694 | $5K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.2% | 165 | 165 | $5K |
12 more codes
| 73110 | 2.0% | 643 | $5K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.9% | 165 | $4K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.7% | 110 | $4K |
| 73030 | 1.7% | 576 | $4K | |
| 72100 | <1% | 242 | $2K | |
| 73080 | <1% | 103 | $716.50 | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 12 | $646.02 |
| 74018 | <1% | 65 | $449.70 | |
| 72040 | <1% | 29 | $237.46 | |
| 76536 | <1% | 12 | $234.68 | |
| 73090 | <1% | 14 | $100.53 | |
| 73502 | <1% | 13 | $90.80 |
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 officialYUNT, KEVIN (PRESIDENT)