Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › PENDLETON › BLUE MOUNTAIN DIAGNOSTIC IMAGING, INC

BLUE MOUNTAIN DIAGNOSTIC IMAGING, INC

NPI: 1346321155 · PENDLETON, OR 97801 · Diagnostic Radiology Physician · NPI assigned 10/18/2006

$11K
Total Medicaid Paid
1,572
Total Claims
1,212
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialFITZGERALD, LYNNE (OFFICE MANAGER)
NPI Enumeration Date10/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 427 $3K
2019 590 $3K
2020 189 $948.05
2021 366 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71046 Radiologic examination, chest; 2 views 1,240 945 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 64 53 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 41 33 $1K
72100 161 129 $1K
73630 51 40 $241.70
73030 15 12 $86.34