Clinic
Mountain Imaging, LLC
Mountain Imaging, LLC was paid $586K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 25% of everything it billed.
33Billing provider infoMOUNTAIN IMAGING, LLC
PAYSON, AZ 85541
PAYSON, AZ 85541
33aNPI1265606156assigned 04/22/2008
33bProvider typeMammography Clinic/Center
28Total paid$586K
24GClaims24,521
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
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 | |
|---|---|---|---|
| 2018 | 4,224 | $80K | |
| 2019 | 4,027 | $79K | |
| 2020 | 2,970 | $76K | |
| 2021 | 3,639 | $99K | |
| 2022 | 3,634 | $91K | |
| 2023 | 3,602 | $95K | |
| 2024incomplete | 2,425 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 25% | 2,176 | 2,057 | $147K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 23% | 2,160 | 2,021 | $133K |
| 70450 | Computed tomography, head or brain; without contrast material | 13% | 2,760 | 2,564 | $78K |
| 71045 | Radiologic examination, chest; single view | 7.8% | 6,765 | 5,831 | $46K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 5.8% | 1,249 | 1,183 | $34K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 4.7% | 419 | 398 | $28K |
| 71046 | Radiologic examination, chest; 2 views | 4.0% | 3,055 | 2,884 | $24K |
| 72125 | Computed tomography, cervical spine; without contrast material | 3.6% | 605 | 571 | $21K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 2.1% | 564 | 535 | $12K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2.1% | 555 | 530 | $12K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.4% | 363 | 358 | $8K |
| 73562 | <1% | 647 | 566 | $5K |
20 more codes
| 73030 | <1% | 650 | $5K | |
| 74018 | <1% | 658 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 187 | $4K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 182 | $4K |
| 93976 | <1% | 139 | $4K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 130 | $3K |
| 93975 | <1% | 57 | $2K | |
| 73630 | <1% | 315 | $2K | |
| 73610 | <1% | 279 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 63 | $2K |
| 71250 | <1% | 54 | $2K | |
| 73130 | <1% | 221 | $2K | |
| 76642 | <1% | 31 | $668.42 | |
| 73502 | <1% | 88 | $655.80 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 13 | $654.33 |
| 93971 | <1% | 41 | $599.24 | |
| 73110 | <1% | 43 | $335.87 | |
| 77080 | <1% | 24 | $201.48 | |
| 72100 | <1% | 12 | $131.56 | |
| 76770 | <1% | 16 | $104.18 |
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 officialCROSBY, JEFFREY (OWNER)