DEACONESS INTERCITY IMAGING LLC
NPI: 1497704860
· BOZEMAN, MT 59715
· Radiology Clinic/Center
· NPI assigned 05/10/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
38 |
$3K |
| 2020 |
40 |
$3K |
| 2021 |
97 |
$6K |
| 2022 |
28 |
$3K |
| 2023 |
487 |
$43K |
| 2024 |
236 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
413 |
350 |
$51K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
425 |
362 |
$21K |
| 76642 |
|
47 |
45 |
$5K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
12 |
12 |
$31.16 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
29 |
28 |
$0.00 |