Medicaid Provider Spending

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

MOHAWK GLEN RADIOLOGY ASSOCIATES OF CNY PLLC

NPI: 1538466115 · ROME, NY 13441 · Diagnostic Radiology Physician · NPI assigned 02/17/2011

$3K
Total Medicaid Paid
91
Total Claims
91
Beneficiaries
5
Codes Billed
2018-10
First Month
2021-05
Last Month

Provider Details

Authorized OfficialFRACCOLA, PHILIP (AUTHORIZED SIGNER)
NPI Enumeration Date02/17/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $2K
2019 54 $836.66
2021 13 $305.19

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
70486 41 41 $1K
77067 12 12 $1K
77063 12 12 $455.11
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 12 12 $0.00
G9638 Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 14 14 $0.00