Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Radiology Associates of the Fox Valley, SC

Radiology Associates of the Fox Valley, SC was paid $2.12M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 28% of everything it billed.

33Billing provider infoRADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC
NEENAH, WI 54956
33aNPI1477539443assigned 12/21/2005
28Total paid$2.12M
24GClaims155,430
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Wisconsin

Rank by total paid#2 of 156
Median peer was paid$3K
This provider vs. median694×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201819,242$247K
201918,779$257K
202020,929$263K
202134,668$356K
202223,945$407K
202322,426$369K
2024incomplete15,441$222K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 28% 16,204 13,063 $603K
70450 Computed tomography, head or brain; without contrast material 19% 16,691 13,195 $395K
71045 Radiologic examination, chest; single view 10% 56,714 41,932 $218K
71046 Radiologic examination, chest; 2 views 8.1% 29,728 25,696 $171K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 6.6% 1,942 1,641 $140K
77067 Screening mammography, bilateral, including computer-aided detection 6.2% 6,665 5,474 $131K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 3.2% 1,990 1,655 $68K
72125 Computed tomography, cervical spine; without contrast material 2.9% 2,145 1,544 $61K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.7% 1,813 1,318 $56K
71275 Computed tomographic angiography, chest, with contrast material 2.6% 1,543 1,216 $54K
77063 Screening digital breast tomosynthesis, bilateral 2.5% 4,837 3,810 $52K
70551 Magnetic resonance imaging, brain; without contrast material 2.3% 1,056 911 $49K
31 more codes
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.4% 674 $30K
72141 <1% 331 $17K
74018 <1% 4,038 $15K
73630 <1% 2,528 $14K
93976 <1% 265 $6K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 151 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 241 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 266 $4K
73610 <1% 654 $4K
73221 <1% 101 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 75 $2K
76830 Ultrasound, transvaginal <1% 101 $2K
72156 <1% 27 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 72 $2K
76642 <1% 83 $1K
72100 <1% 223 $1K
99152 <1% 52 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 64 $964.10
73130 <1% 193 $884.41
73030 <1% 137 $723.15
73564 <1% 101 $553.07
76376 <1% 114 $491.62
73110 <1% 69 $455.80
71250 <1% 23 $449.35
77065 Tomosynthesis, mammo <1% 15 $284.93
93971 <1% 23 $278.07
73560 <1% 16 $102.80
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 0% 2,288 $0.00
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 0% 33 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 0% 428 $0.00
G9638 Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 0% 716 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGARAFALO, ROBERT (PRESIDENT)