SAN DIEGO IMAGING-CHULA VISTA LLC
NPI: 1649207812
· CHULA VISTA, CA 91911
· 261QM1200X
$1.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,770 |
$283K |
| 2019 |
1,679 |
$245K |
| 2020 |
1,187 |
$154K |
| 2021 |
1,102 |
$94K |
| 2022 |
2,036 |
$143K |
| 2023 |
2,230 |
$140K |
| 2024 |
1,720 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
|
5,479 |
5,475 |
$544K |
| 78815 |
|
191 |
191 |
$247K |
| 76642 |
|
1,465 |
1,192 |
$103K |
| 77063 |
|
2,269 |
2,268 |
$84K |
| 77066 |
Tomosynthesis, mammo |
654 |
653 |
$82K |
| A9552 |
F18 fdg |
276 |
276 |
$59K |
| 77065 |
Tomosynthesis, mammo |
214 |
209 |
$22K |
| 71046 |
|
500 |
500 |
$10K |
| 76856 |
|
104 |
104 |
$7K |
| 76830 |
|
102 |
102 |
$7K |
| 77085 |
|
166 |
165 |
$5K |
| 77062 |
|
158 |
158 |
$4K |
| 77080 |
|
107 |
107 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
39 |
39 |
$372.40 |