Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › KNOXVILLE › EAST TENNESSEE DIAGNOSTIC CENTER, LLC

EAST TENNESSEE DIAGNOSTIC CENTER, LLC

NPI: 1710932553 · KNOXVILLE, TN 37909 · Radiology Clinic/Center · NPI assigned 05/23/2006

$12K
Total Medicaid Paid
244
Total Claims
168
Beneficiaries
4
Codes Billed
2019-03
First Month
2022-02
Last Month

Provider Details

Authorized OfficialLANGENBERG, MICHAEL (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: LANGENBERG, MICHAEL

ProviderCityStateTotal Paid
ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC KNOXVILLE TN $5.93M
EAST TENNESSEE COMMUNITY OPEN MRI KNOXVILLE TN $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 50 $1K
2020 110 $7K
2021 72 $5K
2022 12 $33.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
78815 Positron emission tomography (PET) for limited area imaging 75 49 $9K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 61 38 $3K
71250 35 27 $823.73
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 73 54 $156.55