1225059314

1225059314 was paid $1.61M by Medicaid between Jan 2018 and Aug 2024, across 63 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 16% of everything it billed.

33Billing provider info1225059314

33aNPI1225059314

33bProvider type—

28Total paid$1.61M

24GClaims65,366

24DCodes billed63

24AFirst – last monthJan 2018 – Aug 2024

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
2018	14,026	$415K
2019	11,097	$278K
2020	7,425	$180K
2021	14,583	$333K
2022	8,959	$193K
2023	8,645	$197K
2024incomplete	631	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
77067	Screening mammography, bilateral, including computer-aided detection	16%	7,204	7,176	$250K
76700	Ultrasound, abdominal, real time with image documentation; complete	9.7%	4,832	4,819	$156K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	7.9%	4,699	4,680	$127K
76641		6.2%	3,039	2,368	$100K
76830	Ultrasound, transvaginal	5.4%	3,798	3,783	$87K
76801		4.9%	2,461	2,360	$78K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	4.7%	2,126	2,097	$75K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	4.3%	1,182	1,059	$69K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	4.0%	1,236	1,221	$64K
77065	Tomosynthesis, mammo	2.8%	1,341	1,305	$45K
74176	Computed tomography, abdomen and pelvis; without contrast material	2.8%	619	599	$45K
72114		2.7%	3,145	3,029	$43K

51 more codes

71046	Radiologic examination, chest; 2 views	2.6%	4,214	$42K
76770		2.0%	1,083	$33K
73221		1.8%	499	$29K
70450	Computed tomography, head or brain; without contrast material	1.7%	862	$28K
77063	Screening digital breast tomosynthesis, bilateral	1.5%	1,039	$24K
73564		1.4%	2,526	$22K
72052		1.3%	1,370	$21K
70551	Magnetic resonance imaging, brain; without contrast material	1.3%	421	$20K
77066	Tomosynthesis, mammo	1.3%	486	$20K
72141		1.2%	378	$19K
73630		1.2%	2,407	$19K
73030		1.1%	2,181	$18K
74160		1.1%	324	$18K
76536		1.1%	926	$17K
71045	Radiologic examination, chest; single view	<1%	1,958	$14K
76642		<1%	505	$14K
73130		<1%	1,400	$11K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	442	$9K
74178		<1%	116	$9K
73610		<1%	1,183	$9K
72070		<1%	941	$9K
76881		<1%	463	$8K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	80	$6K
73110		<1%	879	$6K
73502		<1%	661	$6K
G0279	Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	<1%	222	$5K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	139	$5K
71250		<1%	103	$4K
73562		<1%	511	$3K
74018		<1%	315	$2K
73080		<1%	211	$2K
72110		<1%	116	$2K
72125	Computed tomography, cervical spine; without contrast material	<1%	32	$1K
76870		<1%	42	$1K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	13	$962.86
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	12	$869.98
74240		<1%	26	$754.91
72220		<1%	116	$723.82
77080		<1%	101	$710.61
72100		<1%	68	$665.58
93970		<1%	13	$540.22
74021		<1%	43	$518.31
72146		<1%	13	$405.30
73521		<1%	39	$391.49
73140		<1%	88	$353.20
73590		<1%	41	$254.32
72050		<1%	16	$200.79
72040		<1%	16	$154.20
72074		<1%	13	$147.94
73090		<1%	13	$82.36
73660		<1%	18	$72.51

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.