ADVANCE DIGITAL IMAGE, CORP
NPI: 1487735684
· SAN SEBASTIAN, PR 00685
· Radiology Clinic/Center
$373K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
954 |
$12K |
| 2019 |
335 |
$15K |
| 2020 |
434 |
$27K |
| 2021 |
686 |
$47K |
| 2022 |
1,158 |
$85K |
| 2023 |
1,275 |
$80K |
| 2024 |
1,333 |
$105K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
|
1,305 |
1,146 |
$97K |
| 76536 |
|
1,180 |
990 |
$83K |
| 72148 |
|
405 |
395 |
$59K |
| 76770 |
|
327 |
287 |
$24K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
257 |
246 |
$23K |
| 72100 |
|
722 |
614 |
$17K |
| 73721 |
|
116 |
101 |
$17K |
| 76830 |
|
299 |
199 |
$16K |
| 71046 |
|
542 |
442 |
$10K |
| 76376 |
|
541 |
504 |
$9K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
61 |
50 |
$7K |
| 76856 |
|
88 |
40 |
$3K |
| 73221 |
|
13 |
13 |
$2K |
| 74176 |
|
12 |
12 |
$2K |
| 73560 |
|
38 |
36 |
$1K |
| 76805 |
|
12 |
12 |
$877.44 |
| 74018 |
|
81 |
45 |
$854.78 |
| 71045 |
|
151 |
57 |
$774.84 |
| 77080 |
|
25 |
25 |
$733.96 |