Medicaid Provider Spending

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

LAS CRUCES PET IMAGING, LLC

NPI: 1295765360 · LAS CRUCES, NM 88011 · Nuclear Medicine Technology Radiologic Technologist · NPI assigned 07/04/2006

$24K
Total Medicaid Paid
63
Total Claims
48
Beneficiaries
3
Codes Billed
2022-11
First Month
2023-03
Last Month

Provider Details

Authorized OfficialWILTSHIRE, CHUCK (CEO)
NPI Enumeration Date07/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 30 $19K
2023 33 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
78815 Positron emission tomography (PET) for limited area imaging 15 12 $16K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 34 24 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 14 12 $2K