Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › TOA BAJA › RAYOS X CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN

RAYOS X CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN

NPI: 1427293661 · TOA BAJA, PR 00949 · Radiology Clinic/Center · NPI assigned 12/02/2008

$8K
Total Medicaid Paid
319
Total Claims
168
Beneficiaries
4
Codes Billed
2018-11
First Month
2024-07
Last Month

Provider Details

Authorized OfficialROIG, RAFAEL (PRESIDENTE)
Parent OrganizationCENTRO DE SERVICIOS MEDICOS DE LEVITTOWN INC
NPI Enumeration Date12/02/2008

Related Entities

Other providers sharing the same authorized official: ROIG, RAFAEL

ProviderCityStateTotal Paid
CENTRO DE SERVICIOS MEDICOS INC TOA BAJA PR $3.60M
CENTRO DE SERVICIOS MEDICOS INC TOA BAJA PR $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36 $149.48
2019 28 $0.00
2020 54 $2K
2021 47 $849.00
2023 78 $3K
2024 76 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 121 96 $5K
76641 134 46 $3K
72100 36 12 $149.48
76700 Ultrasound, abdominal, real time with image documentation; complete 28 14 $0.00