BROADWAY MAMMOGRAPHY, LLC
NPI: 1457088783
· LOS ANGELES, CA 90037
· Mammography Clinic/Center
· NPI assigned 08/05/2022
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | EASON, GENE (ADMINISTRATOR) |
| NPI Enumeration Date | 08/05/2022 |
Related Entities
Other providers sharing the same authorized official: EASON, GENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,196 |
$66K |
| 2024 |
1,287 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,236 |
1,236 |
$101K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,247 |
1,246 |
$14K |