Medicaid Provider Spending

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

INDEPENDENT IMAGING, LLC

NPI: 1265583462 · AURORA, MO 65605 · Diagnostic Radiology Physician · NPI assigned 01/15/2007

$6K
Total Medicaid Paid
1,592
Total Claims
1,498
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialSHORE, JEFFREY (PRESIDENT)
NPI Enumeration Date01/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 809 $4K
2019 672 $2K
2020 111 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71046 Radiologic examination, chest; 2 views 939 888 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 143 135 $2K
71045 Radiologic examination, chest; single view 458 425 $1K
74177 Computed tomography, abdomen and pelvis; with contrast material 12 12 $531.72
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $239.04
73562 13 12 $58.27
73630 15 14 $43.08