Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Ultracare Diagnostic Imaging, LLC

Ultracare Diagnostic Imaging, LLC was paid $19K by Medicaid between Jan 2018 and Sep 2018, across 3 billing codes. Its largest line is 76817, Ultrasound, pregnant uterus, real time with image documentation, transvaginal — 53% of everything it billed.

33Billing provider infoULTRACARE DIAGNOSTIC IMAGING, LLC
KAILUA, HI 96734
33aNPI1558770651assigned 08/04/2014
33bProvider typeRadiology Clinic/Center
28Total paid$19K
24GClaims135
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2018
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018135$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 53% 91 71 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 30% 32 27 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 17% 12 12 $3K

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 officialHAZELBAKER, DEBORAH (OWNER)