HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC.

$15K

Total Medicaid Paid

5,370

Total Claims

4,858

Beneficiaries

27

Codes Billed

2018-01

First Month

2018-03

Last Month

Authorized Official	FRIEDMAN, SIDNEY (MEDICAL DIRECTOR)
NPI Enumeration Date	05/20/2006

Year	Claims	Total Paid
2018	5,370	$15K

Code	Description	Claims	Beneficiaries	Total Paid
71045	Radiologic examination, chest; single view	3,362	2,922	$4K
74177	Computed tomography, abdomen and pelvis; with contrast material	252	245	$3K
70450	Computed tomography, head or brain; without contrast material	484	456	$3K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	127	127	$1K
74176	Computed tomography, abdomen and pelvis; without contrast material	49	46	$597.32
76705	Ultrasound, abdominal, real time with image documentation; limited	123	119	$508.13
70551	Magnetic resonance imaging, brain; without contrast material	13	12	$500.54
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	320	311	$494.62
36569		13	13	$317.91
71275	Computed tomographic angiography, chest, with contrast material	26	26	$222.42
71046	Radiologic examination, chest; 2 views	242	237	$209.51
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	87	85	$156.02
76830	Ultrasound, transvaginal	29	28	$114.31
76700	Ultrasound, abdominal, real time with image documentation; complete	13	13	$99.51
71010		19	14	$85.61
93976		13	13	$78.30
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	31	31	$53.85
77065	Tomosynthesis, mammo	14	13	$49.55
77001		12	12	$33.21
73630		28	26	$28.59
73130		18	14	$25.38
73564		13	13	$12.51
73030		13	13	$8.49
72100		13	13	$8.10
76770		29	29	$4.74
77067	Screening mammography, bilateral, including computer-aided detection	14	14	$0.00
76801		13	13	$0.00

Medicaid Provider Spending