FAJARDO IMAGING MRI CSP
NPI: 1295896587
· RIO GRANDE, PR 00745
· Mammography Clinic/Center
· NPI assigned 12/12/2006
$1.15M
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, DIANA (RADIOLOGIST) |
| NPI Enumeration Date | 12/12/2006 |
Related Entities
Other providers sharing the same authorized official: GARCIA, DIANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,368 |
$92K |
| 2019 |
2,332 |
$157K |
| 2020 |
1,387 |
$110K |
| 2021 |
2,253 |
$178K |
| 2022 |
1,488 |
$115K |
| 2023 |
3,673 |
$324K |
| 2024 |
1,652 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,215 |
3,544 |
$418K |
| 77066 |
Tomosynthesis, mammo |
2,324 |
1,945 |
$286K |
| 76641 |
|
3,834 |
1,623 |
$280K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
758 |
595 |
$61K |
| 77080 |
|
1,578 |
1,188 |
$48K |
| 76830 |
Ultrasound, transvaginal |
156 |
138 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
469 |
378 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
118 |
80 |
$9K |
| 76536 |
|
128 |
116 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
67 |
66 |
$6K |
| 72100 |
|
177 |
163 |
$4K |
| 73560 |
|
140 |
86 |
$3K |
| 76770 |
|
45 |
37 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
131 |
101 |
$2K |
| 72040 |
|
13 |
13 |
$211.79 |