Medicaid Provider Spending

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

MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA

NPI: 1700907433 · SANTA MONICA, CA 90403 · Diagnostic Radiology Physician · NPI assigned 04/02/2007

$12K
Total Medicaid Paid
123
Total Claims
117
Beneficiaries
3
Codes Billed
2019-12
First Month
2022-08
Last Month

Provider Details

Authorized OfficialLAYNE, DAIRZETTE (BILLING MANAGER)
NPI Enumeration Date04/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $1K
2021 49 $5K
2022 62 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71260 Computed tomography, thorax, diagnostic; with contrast material 71 65 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 25 25 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 27 27 $231.12