Medicaid Provider Spending

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

MMD BREAST IMAGING PSC

NPI: 1528776408 · BAYAMON, PR 00961 · Body Imaging Physician · NPI assigned 11/09/2022

$117K
Total Medicaid Paid
1,885
Total Claims
678
Beneficiaries
5
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMALDONADO, MAYRA (PRESIDENT)
NPI Enumeration Date11/09/2022

Related Entities

Other providers sharing the same authorized official: MALDONADO, MAYRA

ProviderCityStateTotal Paid
SOC RAD BAYAMON C T CENTER CORP BAYAMON PR $72K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,885 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 855 376 $75K
76641 522 151 $23K
77066 Tomosynthesis, mammo 389 123 $16K
77065 Tomosynthesis, mammo 84 13 $3K
76377 35 15 $298.75