Medicaid Provider Spending

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

SIRA IMAGING CENTER LLC

NPI: 1558326124 · BLOOMINGTON, IN 47403 · Diagnostic Radiology Physician · NPI assigned 04/18/2006

$878K
Total Medicaid Paid
27,852
Total Claims
25,385
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBISESI, MARK (PRESIDENT)
NPI Enumeration Date04/18/2006

Related Entities

Other providers sharing the same authorized official: BISESI, MARK

ProviderCityStateTotal Paid
SOUTHERN INDIANA RADIOLOGICAL ASSOCIATES INC BLOOMINGTON IN $1.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 5,887 5,441 $426K
78815 Positron emission tomography (PET) for limited area imaging 416 344 $193K
77063 Screening digital breast tomosynthesis, bilateral 5,900 5,440 $175K
76642 717 635 $38K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 753 691 $23K
77066 Tomosynthesis, mammo 118 110 $10K
77065 Tomosynthesis, mammo 114 95 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 12 $2K
71250 15 14 $1K
77080 50 49 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 76 60 $538.44
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 388 316 $43.60
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) 853 634 $0.00
3341F 2,996 2,793 $0.00
7025F 5,365 4,994 $0.00
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 250 180 $0.00
99072 2,903 2,671 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 601 507 $0.00
3342F 425 387 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 12 12 $0.00