Medicaid Provider Spending

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

PRIME RADIOLOGY LLC

NPI: 1245539386 · EDISON, NJ 08837 · Radiology Clinic/Center · NPI assigned 03/15/2011

$3K
Total Medicaid Paid
52
Total Claims
51
Beneficiaries
2
Codes Billed
2018-02
First Month
2018-04
Last Month

Provider Details

Authorized OfficialMODY, SURESH (PRESIDENT)
NPI Enumeration Date03/15/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 39 38 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $691.05