LARCHMONT IMAGING ASSOCIATES
NPI: 1710932603
· MOUNT LAUREL, NJ 08054
· Diagnostic Radiology Physician
· NPI assigned 05/23/2006
$231K
Total Medicaid Paid
Provider Details
| Authorized Official | FOGLE, TIFFANY (MANAGER OF CREDENTIALING) |
| NPI Enumeration Date | 05/23/2006 |
Related Entities
Other providers sharing the same authorized official: FOGLE, TIFFANY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$3K |
| 2019 |
266 |
$21K |
| 2020 |
651 |
$28K |
| 2021 |
1,384 |
$56K |
| 2022 |
786 |
$50K |
| 2023 |
636 |
$41K |
| 2024 |
501 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,741 |
1,719 |
$169K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,643 |
1,623 |
$62K |
| 3341F |
|
27 |
27 |
$0.00 |
| 7025F |
|
602 |
601 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
228 |
226 |
$0.00 |
| 3342F |
|
13 |
13 |
$0.00 |