Medicaid Provider Spending

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

GETTYSBURG DIAGNOSTIC IMAGING, PC

NPI: 1669460457 · GETTYSBURG, PA 17325 · Diagnostic Radiology Physician · NPI assigned 10/06/2005

$5K
Total Medicaid Paid
444
Total Claims
410
Beneficiaries
6
Codes Billed
2018-02
First Month
2021-03
Last Month

Provider Details

Authorized OfficialTAN, WILSON (PRESIDENT)
NPI Enumeration Date10/06/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18 $76.38
2020 163 $1K
2021 263 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 38 38 $1K
71046 Radiologic examination, chest; 2 views 164 159 $1K
71045 Radiologic examination, chest; single view 186 157 $1K
77063 Screening digital breast tomosynthesis, bilateral 26 26 $660.69
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 17 17 $518.50
76830 Ultrasound, transvaginal 13 13 $391.50