Supplier
Centro Radiologico Shalom INC
Centro Radiologico Shalom INC was paid $493K by Medicaid between Mar 2018 and Dec 2024, across 18 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 54% of everything it billed.
33Billing provider infoCENTRO RADIOLOGICO SHALOM INC
QUEBRADILLAS, PR 00678
QUEBRADILLAS, PR 00678
33aNPI1548570211assigned 10/15/2010
33bProvider typePortable X-ray and/or Other Portable Diagnostic Imaging Supplier
28Total paid$493K
24GClaims7,143
24DCodes billed18
24AFirst – last monthMar 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 45 | $2K | |
| 2019 | 389 | $10K | |
| 2020 | 512 | $17K | |
| 2021 | 854 | $47K | |
| 2022 | 1,332 | $93K | |
| 2023 | 2,081 | $162K | |
| 2024incomplete | 1,930 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 54% | 3,205 | 2,934 | $267K |
| 76641 | 22% | 1,428 | 1,265 | $107K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 8.7% | 599 | 529 | $43K |
| 76536 | 5.2% | 355 | 313 | $25K | |
| 77066 | Tomosynthesis, mammo | 3.7% | 202 | 178 | $18K |
| 72100 | 1.9% | 460 | 395 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | 1.3% | 271 | 240 | $6K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.2% | 27 | 15 | $6K |
| 71045 | Radiologic examination, chest; single view | <1% | 246 | 202 | $2K |
| 72040 | <1% | 75 | 65 | $2K | |
| 74018 | <1% | 112 | 70 | $2K | |
| 73562 | <1% | 27 | 27 | $960.91 |
6 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFELICIANO NIEVES, VIVIAN (ADMINISTRATOR)