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ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC
ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC
NPI: 1528566890
· ARLINGTON, TX 76018
· Multi-Specialty Clinic/Center
· NPI assigned 01/31/2018
$273K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, JIN (CEO) |
| NPI Enumeration Date | 01/31/2018 |
Related Entities
Other providers sharing the same authorized official: KIM, JIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
164 |
$104.25 |
| 2020 |
131 |
$510.83 |
| 2021 |
1,223 |
$35K |
| 2022 |
2,240 |
$104K |
| 2023 |
2,043 |
$60K |
| 2024 |
2,291 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,695 |
3,253 |
$195K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,653 |
3,220 |
$77K |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
128 |
90 |
$611.89 |
| 96160 |
|
616 |
544 |
$0.00 |