Medicaid Provider Spending

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

ELITE DIAGNOSTIC IMAGING INC

NPI: 1215189287 · WOODLAND HILLS, CA 91367 · Mobile Radiology Clinic/Center · NPI assigned 10/21/2008

$7K
Total Medicaid Paid
213
Total Claims
204
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialTSYMBALOV, ROSS (CEO)
NPI Enumeration Date10/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $278.50
2019 26 $250.42
2020 101 $4K
2021 24 $2K
2023 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93976 90 86 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 94 90 $870.09
93978 13 12 $576.12
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 16 16 $201.60