NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP
NPI: 1447252200
· SOUTH BEND, IN 46635
· 261QM1200X
$220K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,801 |
$6K |
| 2019 |
524 |
$56K |
| 2020 |
226 |
$25K |
| 2021 |
641 |
$72K |
| 2022 |
304 |
$30K |
| 2023 |
202 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
|
1,762 |
1,270 |
$149K |
| 70551 |
|
1,027 |
818 |
$42K |
| 72148 |
|
693 |
449 |
$25K |
| 73721 |
|
315 |
180 |
$2K |
| 72141 |
|
311 |
179 |
$2K |
| 73221 |
|
31 |
24 |
$50.56 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
290 |
255 |
$40.00 |
| J2250 |
Inj midazolam hydrochloride |
239 |
113 |
$0.12 |
| G9551 |
Imag no les |
52 |
37 |
$0.00 |
| 82565 |
|
161 |
89 |
$0.00 |
| A9577 |
Inj multihance |
535 |
243 |
$0.00 |
| 94761 |
|
257 |
115 |
$0.00 |
| 74183 |
|
25 |
14 |
$0.00 |