Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
AZ
›
SURPRISE
› SMI IMAGING, LLC
SMI IMAGING, LLC
NPI: 1568784353 · SURPRISE, AZ 85374 ·
2085R0202X
$24K
Total Medicaid Paid
473
Total Claims
399
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
473
$24K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
77067
144
138
$12K
76642
102
79
$5K
76641
55
29
$3K
71046
98
85
$3K
G0279
Tomosynthesis, mammo
13
13
$449.53
73562
16
12
$333.17
72100
13
12
$217.98
77063
32
31
$7.80