Medicaid Provider Spending

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

DIAGNOSTIC RADIOLOGY ASSOCIATES OF WISCONSIN SC

NPI: 1326116781 · RICE LAKE, WI 54868 · Diagnostic Radiology Physician · NPI assigned 12/01/2006

$81K
Total Medicaid Paid
11,099
Total Claims
9,349
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPELANT, THOMAS (RADIOLOGIST)
NPI Enumeration Date12/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,261 $18K
2019 2,097 $11K
2020 1,873 $11K
2021 1,100 $12K
2022 745 $5K
2023 882 $15K
2024 1,141 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 696 622 $27K
70450 Computed tomography, head or brain; without contrast material 909 812 $23K
71046 Radiologic examination, chest; 2 views 3,809 3,494 $20K
71045 Radiologic examination, chest; single view 1,472 1,266 $5K
77067 Screening mammography, bilateral, including computer-aided detection 55 54 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 28 28 $996.96
71260 Computed tomography, thorax, diagnostic; with contrast material 28 26 $741.69
73630 108 90 $677.48
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $335.50
73610 28 25 $197.27
73030 31 28 $191.93
73562 12 12 $97.94
74018 12 12 $71.35
G9638 Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 1,611 1,175 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 127 97 $0.00
G9556 Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended 20 18 $0.00
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 2,051 1,494 $0.00
7025F 29 29 $0.00
3341F 13 13 $0.00
77063 Screening digital breast tomosynthesis, bilateral 28 27 $0.00
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 20 15 $0.00