Medicaid Provider Spending

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

SAN LUIS IMAGING MEDICAL GROUP, INC

NPI: 1649682840 · SAN LUIS OBISPO, CA 93401 · Diagnostic Radiology Physician · NPI assigned 05/22/2014

$2K
Total Medicaid Paid
54
Total Claims
54
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVERNACCHIA, FRED (PRESIDENT)
NPI Enumeration Date05/22/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 54 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76377 30 30 $1K
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $304.50
77063 Screening digital breast tomosynthesis, bilateral 12 12 $241.29