DIAGNOSTIC IMAGING MED GRP OF KENT
NPI: 1255494795
· LOS ANGELES, CA 90026
· Diagnostic Radiology Physician
· NPI assigned 12/18/2006
$886K
Total Medicaid Paid
Provider Details
| Authorized Official | BUSTOS, ADELAIDA (PARTNER CO OWNER) |
| NPI Enumeration Date | 12/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,564 |
$157K |
| 2019 |
3,958 |
$284K |
| 2020 |
2,342 |
$156K |
| 2021 |
2,294 |
$146K |
| 2022 |
2,104 |
$142K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 76801 |
|
5,727 |
5,590 |
$357K |
| 76813 |
|
3,142 |
2,447 |
$269K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,089 |
3,055 |
$205K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,111 |
1,111 |
$46K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
193 |
193 |
$9K |