Medicaid Provider Spending

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

MODERN RADIOLOGY ,PSC

NPI: 1457674939 · COTO LAUREL, PR 00780 · Radiology Clinic/Center · NPI assigned 03/11/2010

$5K
Total Medicaid Paid
263
Total Claims
156
Beneficiaries
3
Codes Billed
2019-04
First Month
2020-10
Last Month

Provider Details

Authorized OfficialBERMUDEZ-RUIZ, GAMALIER (PRESIDENT)
NPI Enumeration Date03/11/2010

Related Entities

Other providers sharing the same authorized official: BERMUDEZ-RUIZ, GAMALIER

ProviderCityStateTotal Paid
MODERN RADIOLOGY,PSC PONCE PR $350K
MODERN RADIOLOGY PSC COTO LAUREL PR $111K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 144 $3K
2020 119 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77066 Tomosynthesis, mammo 193 119 $4K
76641 49 25 $794.97
77080 21 12 $320.92