PROVIDENCE HEALTH SERVICES, INC
NPI: 1285208009
· WASHINGTON, DC 20017
· Magnetic Resonance Imaging (MRI) Clinic/Center
· NPI assigned 05/17/2021
$143K
Total Medicaid Paid
Provider Details
| Authorized Official | DUNWELL, MICHAEL (COORD CREDENTIALING) |
| NPI Enumeration Date | 05/17/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
234 |
$8K |
| 2022 |
1,718 |
$95K |
| 2023 |
765 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
821 |
808 |
$72K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
822 |
807 |
$29K |
| 76641 |
|
124 |
123 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
377 |
354 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
72 |
72 |
$7K |
| 73630 |
|
159 |
117 |
$5K |
| 76830 |
Ultrasound, transvaginal |
29 |
28 |
$3K |
| 72100 |
|
93 |
91 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
42 |
42 |
$2K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$1K |
| 73030 |
|
45 |
41 |
$1K |
| 73560 |
|
50 |
37 |
$1K |
| 77080 |
|
56 |
55 |
$550.55 |
| 73562 |
|
14 |
12 |
$436.25 |