Clinic
FT. Jesse Imaging Center LLC
FT. Jesse Imaging Center LLC was paid $4K by Medicaid between May 2022 and Aug 2022, across 3 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 61% of everything it billed.
33Billing provider infoFT. JESSE IMAGING CENTER LLC
NORMAL, IL 61761
NORMAL, IL 61761
33aNPI1245287143assigned 05/27/2006
33bProvider typeMammography Clinic/Center
28Total paid$4K
24GClaims63
24DCodes billed3
24AFirst – last monthMay 2022 – Aug 2022
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official STOUT, AMY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 63 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 61% | 31 | 31 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 23% | 13 | 12 | $909.48 |
| 77063 | Screening digital breast tomosynthesis, bilateral | 15% | 19 | 19 | $592.99 |
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 officialSTOUT, AMY (PRESIDENT/CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.