Medicaid Provider Spending

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

MOUNTAIN WEST MEDICAL IMAGING, LLC

NPI: 1437254190 · KINGMAN, AZ 86409 · Diagnostic Radiology Physician · NPI assigned 09/14/2006

$30K
Total Medicaid Paid
1,085
Total Claims
898
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialTERRY, MAX (OWNER)
NPI Enumeration Date09/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 675 $21K
2019 380 $8K
2020 30 $791.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
72148 Magnetic resonance imaging, lumbar spine; without contrast material 94 83 $13K
74019 401 334 $7K
71046 Radiologic examination, chest; 2 views 271 225 $4K
72100 128 114 $3K
72110 119 91 $2K
73562 41 26 $751.07
73030 31 25 $535.43