Medicaid Provider Spending

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

SOUTHGATE X-RAY NUCLEAR MEDICINE & ULTRASOUND, PC

NPI: 1518985415 · SOUTHGATE, MI 48195 · Diagnostic Radiology Physician · NPI assigned 07/18/2006

$7K
Total Medicaid Paid
105
Total Claims
103
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialVOLLMAN, DENNIS (PRESIDENT)
NPI Enumeration Date07/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 39 39 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 28 28 $2K
76830 Ultrasound, transvaginal 24 24 $2K
76641 14 12 $820.31