Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MODERN RADIOLOGY PSC
NPI: 1699098160 · SABANA GRANDE, PR 00637 ·
Radiology Clinic/Center
· NPI assigned 03/11/2010
$10K
Total Medicaid Paid
568
Total Claims
482
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-12
Last Month
Provider Details
Authorized Official
BERMUDEZ, GAMALIER
(PRESIDENT)
NPI Enumeration Date
03/11/2010
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
503
$9K
2019
65
$493.31
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
77066
Tomosynthesis, mammo
85
74
$6K
74018
204
188
$1K
73560
110
76
$1K
72100
80
63
$777.92
70250
62
54
$563.61
71046
Radiologic examination, chest; 2 views
27
27
$334.40