Medicaid Provider Spending

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

BORDERS, JAMES

NPI: 1588670913 · CAPE GIRARDEAU, MO 63703 · Diagnostic Radiology Physician · NPI assigned 07/31/2006

$109K
Total Medicaid Paid
6,626
Total Claims
5,653
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,608 $20K
2019 1,476 $23K
2020 682 $7K
2021 263 $2K
2022 772 $16K
2023 880 $20K
2024 945 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
70450 Computed tomography, head or brain; without contrast material 550 515 $31K
77067 Screening mammography, bilateral, including computer-aided detection 843 656 $23K
77063 Screening digital breast tomosynthesis, bilateral 493 371 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 223 203 $9K
74177 Computed tomography, abdomen and pelvis; with contrast material 182 171 $9K
71045 Radiologic examination, chest; single view 2,024 1,672 $8K
71046 Radiologic examination, chest; 2 views 1,121 1,083 $7K
76642 213 187 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 125 94 $3K
73130 106 88 $994.25
73630 101 89 $930.57
73610 107 96 $913.67
74018 130 125 $675.31
72125 Computed tomography, cervical spine; without contrast material 29 27 $659.46
76705 Ultrasound, abdominal, real time with image documentation; limited 27 27 $454.49
74022 14 14 $247.17
73110 12 12 $222.36
73090 14 14 $97.96
G9326 Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given 59 39 $0.00
G9329 Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given 59 39 $0.00
G9638 Final reports without 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) 46 32 $0.00
G9319 Imaging study not named according to standardized nomenclature, reason not given 59 39 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 30 21 $0.00
G9322 Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given 59 39 $0.00