Medicaid Provider Spending

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

SMI IMAGING, LLC

NPI: 1700325511 · SUN LAKES, AZ 85248 · Radiology Clinic/Center · NPI assigned 02/14/2017

$55K
Total Medicaid Paid
730
Total Claims
699
Beneficiaries
7
Codes Billed
2018-03
First Month
2021-01
Last Month

Provider Details

Authorized OfficialPRINCE, TRACY (PHYSICIANS ONBOARDING MANAGER)
Parent OrganizationSIMONMED IMAGING, INC
NPI Enumeration Date02/14/2017

Related Entities

Other providers sharing the same authorized official: PRINCE, TRACY

ProviderCityStateTotal Paid
SMI IMAGING, LLC TUCSON AZ $35K
MDIG OF NEW MEXICO, LLC PHOENIX AZ $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $716.64
2019 16 $0.00
2020 597 $44K
2021 76 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
70551 Magnetic resonance imaging, brain; without contrast material 207 200 $20K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 159 155 $17K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 44 43 $9K
72141 94 89 $7K
A9575 Injection, gadoterate meglumine, 0.1 ml 60 59 $906.10
71046 Radiologic examination, chest; 2 views 41 39 $716.64
76377 125 114 $311.74