ADVANCED IMAGING CENTER, LLC
NPI: 1619964467
· MOLINE, IL 61265
· 261QR0200X
$103K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
360 |
$6K |
| 2019 |
112 |
$8K |
| 2020 |
187 |
$14K |
| 2021 |
392 |
$23K |
| 2022 |
524 |
$37K |
| 2023 |
181 |
$8K |
| 2024 |
119 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
|
322 |
296 |
$52K |
| 76815 |
|
407 |
383 |
$16K |
| 74177 |
|
149 |
144 |
$15K |
| 76830 |
|
212 |
211 |
$7K |
| 76700 |
|
147 |
146 |
$6K |
| 76642 |
|
105 |
84 |
$3K |
| 76817 |
|
32 |
28 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
474 |
284 |
$1K |
| A9552 |
F18 fdg |
27 |
25 |
$733.01 |