Medicaid Provider Spending

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

DIAGNOSTIC IMAGING SERVICE OF IDAHO

NPI: 1508875360 · POCATELLO, ID 83201 · Mobile Radiology Clinic/Center · NPI assigned 08/07/2006

$5K
Total Medicaid Paid
71
Total Claims
68
Beneficiaries
3
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEVERSON, JAMES (OWNER)
NPI Enumeration Date08/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 31 $2K
2024 40 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 31 30 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 28 26 $2K
76830 Ultrasound, transvaginal 12 12 $765.38