PROVIDENCE IMAGING CENTER
NPI: 1528006020
· ANCHORAGE, AK 99508
· 2085R0202X
$1.48M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,500 |
$104K |
| 2019 |
4,563 |
$227K |
| 2020 |
3,194 |
$178K |
| 2021 |
4,739 |
$236K |
| 2022 |
4,723 |
$182K |
| 2023 |
5,330 |
$229K |
| 2024 |
4,754 |
$326K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
|
3,937 |
3,845 |
$441K |
| 76700 |
|
1,893 |
1,838 |
$157K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,610 |
3,490 |
$146K |
| 74177 |
|
888 |
777 |
$120K |
| 76642 |
|
1,590 |
1,380 |
$86K |
| 78815 |
|
149 |
95 |
$75K |
| 71046 |
|
4,259 |
4,061 |
$68K |
| 76770 |
|
880 |
846 |
$66K |
| 77066 |
Tomosynthesis, mammo |
496 |
475 |
$63K |
| 77065 |
Tomosynthesis, mammo |
538 |
463 |
$47K |
| 76536 |
|
451 |
434 |
$44K |
| G0279 |
Tomosynthesis, mammo |
1,363 |
1,309 |
$33K |
| 76705 |
|
340 |
330 |
$24K |
| 76830 |
|
229 |
217 |
$21K |
| 70553 |
|
142 |
132 |
$16K |
| 76856 |
|
207 |
200 |
$16K |
| 71260 |
|
375 |
343 |
$16K |
| 71250 |
|
290 |
279 |
$15K |
| 74018 |
|
610 |
555 |
$12K |
| A9585 |
Gadobutrol injection |
1,020 |
912 |
$6K |
| 70486 |
|
41 |
39 |
$4K |
| 77080 |
|
135 |
132 |
$4K |
| 72148 |
|
29 |
27 |
$2K |
| 72100 |
|
55 |
55 |
$2K |
| 77072 |
|
15 |
14 |
$233.94 |
| A9552 |
F18 fdg |
138 |
109 |
$80.00 |
| 77063 |
|
3,429 |
3,340 |
$0.00 |
| A9609 |
F18 fdg, 15 millicuries |
31 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,663 |
1,876 |
$0.00 |