Medicaid Provider Spending

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

FT. JESSE IMAGING CENTER LLC

NPI: 1245287143 · NORMAL, IL 61761 · Mammography Clinic/Center · NPI assigned 05/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STOUT, AMY controls 20+ related entities in our dataset. Read more

$4K
Total Medicaid Paid
63
Total Claims
62
Beneficiaries
3
Codes Billed
2022-05
First Month
2022-08
Last Month

Provider Details

Authorized OfficialSTOUT, AMY (PRESIDENT/CEO)
NPI Enumeration Date05/27/2006

Related Entities

Other providers sharing the same authorized official: STOUT, AMY

ProviderCityStateTotal Paid
UNIVERSITY OF VIRGINIA IMAGING, LLC CHARLOTTESVILLE VA $4.60M
HEARTLAND DIAGNOSTICS, LLC ELIZABETHTOWN KY $1.49M
JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC PHILADELPHIA PA $583K
UNIVERSITY OF VIRGINIA IMAGING, LLC CHARLOTTESVILLE VA $494K
UNIVERSITY OF VIRGINIA IMAGING, LLC CHARLOTTESVILLE VA $491K
UVA OUTPATIENT IMAGING CULPEPER, LLC CULPEPER VA $432K
HOLMDEL IMAGING LLC HOLMDEL NJ $211K
UNIVERSITY OF VIRGINIA IMAGING, LLC ZION CROSSROADS VA $201K
ADVANCED MEDICAL IMAGING LLC KOKOMO IN $162K
UNIVERSITY OF VIRGINIA IMAGING, LLC CHARLOTTESVILLE VA $160K
WAKE FOREST BAPTIST IMAGING, LLC WINSTON SALEM NC $60K
UNIVERSITY DIAGNOSTICS, LLC KNOXVILLE TN $54K
PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC BEL AIR MD $48K
UCONN HEALTH IMAGING, LLC FARMINGTON CT $45K
JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC PHILADELPHIA PA $31K
PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC ROCKVILLE MD $14K
WEST TENNESSEE IMAGING, LLC GERMANTOWN TN $13K
DIAGNOSTIC HEALTH MRI OF GADSDEN, LLC HUNTSVILLE AL $9K
PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC WASHINGTON DC $9K
PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC OLNEY MD $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 63 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 31 31 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 12 $909.48
77063 Screening digital breast tomosynthesis, bilateral 19 19 $592.99