CDT CENTRO DE MEDICINA PRIMARIA DE VEGA ALTA CORP
NPI: 1548645468
· VEGA ALTA, PR 00692
· Radiology Clinic/Center
· NPI assigned 07/21/2015
$110K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DOMINGUEZ, MILDALIAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,275 |
$64K |
| 2019 |
5,169 |
$25K |
| 2020 |
1,149 |
$16K |
| 2021 |
80 |
$973.29 |
| 2022 |
26 |
$367.56 |
| 2023 |
110 |
$2K |
| 2024 |
44 |
$866.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,373 |
651 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
916 |
451 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,794 |
939 |
$12K |
| 72110 |
|
1,112 |
592 |
$12K |
| 76830 |
Ultrasound, transvaginal |
364 |
211 |
$11K |
| 76641 |
|
317 |
174 |
$8K |
| 73562 |
|
761 |
291 |
$5K |
| 76536 |
|
345 |
151 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
550 |
301 |
$3K |
| 74018 |
|
518 |
279 |
$3K |
| 72050 |
|
166 |
108 |
$2K |
| 70220 |
|
83 |
79 |
$2K |
| 73630 |
|
106 |
69 |
$1K |
| 76770 |
|
182 |
77 |
$1K |
| 70260 |
|
31 |
29 |
$717.28 |
| 93000 |
|
32 |
30 |
$276.37 |
| 72040 |
|
100 |
26 |
$212.70 |
| 73030 |
|
103 |
37 |
$206.30 |