Medical Imaging Center of Southern California

Medical Imaging Center of Southern California was paid $12K by Medicaid between Dec 2019 and Aug 2022, across 3 billing codes. Its largest line is 71260, Computed tomography, thorax, diagnostic; with contrast material — 56% of everything it billed.

33Billing provider infoMEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA
SANTA MONICA, CA 90403

33aNPI1700907433assigned 04/02/2007

33bProvider typeDiagnostic Radiology Physician

28Total paid$12K

24GClaims123

24DCodes billed3

24AFirst – last monthDec 2019 – Aug 2022

Compared with peers

Next to other Diagnostic Radiology Physician providers in California

Rank by total paid#342 of 797

Median peer was paid$6K

This provider vs. median2.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
71260	Computed tomography, thorax, diagnostic; with contrast material	56%	71	65	$7K
74177	Computed tomography, abdomen and pelvis; with contrast material	42%	25	25	$5K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1.9%	27	27	$231.12

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLAYNE, DAIRZETTE (BILLING MANAGER)