Medicaid Provider Spending

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

THIRD AVENUE OPEN MRI, INC

NPI: 1205900404 · BRONX, NY 10455 · Magnetic Resonance Imaging (MRI) Clinic/Center · NPI assigned 11/20/2006

$72K
Total Medicaid Paid
702
Total Claims
659
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialGLEICHER, KENNETH (CFO)
NPI Enumeration Date11/20/2006

Related Entities

Other providers sharing the same authorized official: GLEICHER, KENNETH

ProviderCityStateTotal Paid
THIRD AVENUE RADIOLOGY & IMAGING PC BRONX NY $87K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 702 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 255 255 $29K
76641 198 156 $21K
76700 Ultrasound, abdominal, real time with image documentation; complete 86 86 $9K
93978 50 50 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 23 23 $2K
77065 Tomosynthesis, mammo 12 12 $1K
71046 Radiologic examination, chest; 2 views 50 50 $1K
76830 Ultrasound, transvaginal 12 12 $1K
76820 16 15 $425.36