Medicaid Provider Spending

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

MOSHOLU PARK RADIOLOGY PC

NPI: 1710996509 · BRONX, NY 10458 · Body Imaging Physician · NPI assigned 08/08/2006

$443K
Total Medicaid Paid
7,134
Total Claims
7,021
Beneficiaries
11
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialPACIS, ANDRESITO (PRESIDENT)
NPI Enumeration Date08/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,496 $165K
2019 2,887 $175K
2020 1,751 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 2,162 2,158 $194K
76700 Ultrasound, abdominal, real time with image documentation; complete 667 666 $58K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 813 813 $54K
76641 845 811 $45K
76830 Ultrasound, transvaginal 514 512 $38K
71046 Radiologic examination, chest; 2 views 1,229 1,229 $25K
77080 300 290 $11K
73562 303 251 $8K
72110 184 182 $6K
76770 47 47 $3K
73030 70 62 $1K