Medicaid Provider Spending

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

MDIG OF NEW MEXICO, LLC

NPI: 1225524531 · PHOENIX, AZ 85029 · Diagnostic Radiology Physician · NPI assigned 07/10/2018

$29K
Total Medicaid Paid
3,388
Total Claims
2,692
Beneficiaries
7
Codes Billed
2018-10
First Month
2020-03
Last Month

Provider Details

Authorized OfficialPRINCE, TRACY (RCM-OPERATIONS MANAGER)
NPI Enumeration Date07/10/2018

Related Entities

Other providers sharing the same authorized official: PRINCE, TRACY

ProviderCityStateTotal Paid
SMI IMAGING, LLC SUN LAKES AZ $55K
SMI IMAGING, LLC TUCSON AZ $35K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 198 $856.66
2019 2,827 $23K
2020 363 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71045 Radiologic examination, chest; single view 2,652 2,055 $13K
74177 Computed tomography, abdomen and pelvis; with contrast material 197 171 $11K
70450 Computed tomography, head or brain; without contrast material 83 71 $2K
71046 Radiologic examination, chest; 2 views 115 111 $937.93
74176 Computed tomography, abdomen and pelvis; without contrast material 15 12 $839.12
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 266 222 $1.08
G9638 Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 60 50 $0.22