Medicaid Provider Spending

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

PET IMAGING OF SAN JOSE, LLC

NPI: 1477693513 · SAN JOSE, CA 95128 · Radiology Clinic/Center · NPI assigned 02/07/2007

$14K
Total Medicaid Paid
56
Total Claims
49
Beneficiary Records
2
Codes Billed
2018-07
First Month
2024-05
Last Month

Provider Details

Authorized OfficialFARHANGUI, BIJAN (CEO, PRESIDENT)
NPI Enumeration Date02/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $2K
2023 18 $9K
2024 13 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
78815 Positron emission tomography (PET) for limited area imaging 43 37 $13K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 13 12 $868.48