Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › TUPELO › IMAGING CENTER AT GLOSTER CREEK VILLAGE PLLC

IMAGING CENTER AT GLOSTER CREEK VILLAGE PLLC

NPI: 1417907536 · TUPELO, MS 38801 · Diagnostic Radiology Physician · NPI assigned 05/11/2006

$6K
Total Medicaid Paid
389
Total Claims
316
Beneficiaries
5
Codes Billed
2019-10
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSCHAEFER, DANIEL (COO)
NPI Enumeration Date05/11/2006

Related Entities

Other providers sharing the same authorized official: SCHAEFER, DANIEL

ProviderCityStateTotal Paid
FLORIDA DIAGNOSTIC IMAGING CENTER NICEVILLE FL $33K
PALMETTO IMAGING, INC GREENVILLE SC $6K
PALMETTO IMAGING, INC MYRTLE BEACH SC $283.19

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 17 $2K
2021 14 $262.02
2022 280 $4K
2023 78 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 60 45 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 47 31 $410.25
71046 Radiologic examination, chest; 2 views 14 12 $262.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 33 30 $12.00
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) 235 198 $0.00