SIRA IMAGING CENTER LLC
NPI: 1558326124
· BLOOMINGTON, IN 47403
· 2085R0202X
$878K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,830 |
$7K |
| 2019 |
2,945 |
$79K |
| 2020 |
2,732 |
$75K |
| 2021 |
7,224 |
$152K |
| 2022 |
4,281 |
$149K |
| 2023 |
4,008 |
$181K |
| 2024 |
3,832 |
$236K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
|
5,887 |
5,441 |
$426K |
| 78815 |
|
416 |
344 |
$193K |
| 77063 |
|
5,900 |
5,440 |
$175K |
| 76642 |
|
717 |
635 |
$38K |
| G0279 |
Tomosynthesis, mammo |
753 |
691 |
$23K |
| 77066 |
Tomosynthesis, mammo |
118 |
110 |
$10K |
| 77065 |
Tomosynthesis, mammo |
114 |
95 |
$8K |
| 73721 |
|
13 |
12 |
$2K |
| 71250 |
|
15 |
14 |
$1K |
| 77080 |
|
50 |
49 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
76 |
60 |
$538.44 |
| A9552 |
F18 fdg |
388 |
316 |
$43.60 |
| G9637 |
Doc >1 dose reduc tech |
853 |
634 |
$0.00 |
| 3341F |
|
2,996 |
2,793 |
$0.00 |
| 7025F |
|
5,365 |
4,994 |
$0.00 |
| G9557 |
Ct/cta/mri/a no thyr <1.0cm |
250 |
180 |
$0.00 |
| 99072 |
|
2,903 |
2,671 |
$0.00 |
| G9551 |
Imag no les |
601 |
507 |
$0.00 |
| 3342F |
|
425 |
387 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
12 |
12 |
$0.00 |