Medicaid Provider Spending

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

CMG CLINICAL LABORATORY AND ANCILLARY SERVICES, INC.

NPI: 1497809297 · POMONA, CA 91767 · Nuclear Cardiology Physician · NPI assigned 01/22/2007

Deactivated NPI · This NPI was deactivated on 03/10/2023. Reactivated 06/06/2023.
$20K
Total Medicaid Paid
459
Total Claims
456
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWALKER, ADRIENNE (CONTRACTS ADMINISTRATOR)
NPI Enumeration Date01/22/2007

Related Entities

Other providers sharing the same authorized official: WALKER, ADRIENNE

ProviderCityStateTotal Paid
CHAPARRAL MEDICAL GROUP INC POMONA CA $289K
CHAPARRAL SPECIALTY MEDICAL GROUP, INC. POMONA CA $38K
CHAPARRAL MEDICAL GROUP INC UPLAND CA $10K
CHAPARRAL MEDICAL GROUP INC POMONA CA $7K
CHAPARRAL MEDICAL GROUP INC UPLAND CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $4K
2019 78 $4K
2023 78 $3K
2024 248 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 145 144 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 133 131 $8K
J2785 Injection, regadenoson, 0.1 mg 66 66 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 89 89 $371.76
99070 26 26 $0.00