DAYTON INTERVENTIONAL RADIOLOGY LLC
NPI: 1316923915
· KETTERING, OH 45409
· 213ES0103X
$247K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,099 |
$25K |
| 2019 |
2,223 |
$58K |
| 2020 |
919 |
$41K |
| 2021 |
933 |
$58K |
| 2022 |
1,082 |
$59K |
| 2023 |
112 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93925 |
|
916 |
834 |
$84K |
| 93923 |
|
1,498 |
1,391 |
$72K |
| 99213 |
|
1,135 |
920 |
$35K |
| 99203 |
|
512 |
467 |
$20K |
| 99214 |
|
199 |
181 |
$9K |
| 36246 |
|
14 |
14 |
$6K |
| 75774 |
|
28 |
26 |
$4K |
| 75716 |
|
28 |
26 |
$3K |
| 93922 |
|
201 |
191 |
$3K |
| 99442 |
|
264 |
192 |
$3K |
| 75625 |
|
28 |
26 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
327 |
288 |
$2K |
| 76937 |
|
84 |
69 |
$1K |
| 99215 |
Prolong outpt/office vis |
22 |
16 |
$1K |
| 99441 |
|
61 |
58 |
$627.82 |
| 99202 |
|
12 |
12 |
$441.89 |
| J3490 |
Drugs unclassified injection |
70 |
39 |
$393.49 |
| 99152 |
|
14 |
12 |
$323.88 |
| 73620 |
|
13 |
12 |
$202.78 |
| J3010 |
Fentanyl citrate injection |
309 |
280 |
$187.87 |
| 36415 |
|
38 |
37 |
$59.00 |
| J2250 |
Inj midazolam hydrochloride |
376 |
332 |
$58.69 |
| J2704 |
Inj, propofol, 10 mg |
99 |
85 |
$20.25 |
| 99443 |
|
26 |
25 |
$0.00 |
| 99024 |
|
94 |
56 |
$0.00 |