Medicaid Provider Spending

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

ULTRACARE DIAGNOSTIC IMAGING, LLC

NPI: 1558770651 · KAILUA, HI 96734 · Radiology Clinic/Center · NPI assigned 08/04/2014

$19K
Total Medicaid Paid
135
Total Claims
110
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialHAZELBAKER, DEBORAH (OWNER)
NPI Enumeration Date08/04/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 135 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 91 71 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 32 27 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12 12 $3K