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
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 135 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)