ARA/ST. DAVID'S IMAGING, LP
NPI: 1720065170
· ROUND ROCK, TX 78664
· 261QR0208X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
165 |
$232.55 |
| 2019 |
257 |
$224.95 |
| 2020 |
101 |
$898.83 |
| 2021 |
264 |
$3K |
| 2022 |
216 |
$416.64 |
| 2023 |
190 |
$702.23 |
| 2024 |
94 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
|
393 |
278 |
$4K |
| 71046 |
|
326 |
288 |
$3K |
| 77063 |
|
476 |
353 |
$971.27 |
| 72082 |
|
27 |
27 |
$756.72 |
| 76700 |
|
15 |
12 |
$128.03 |
| 76856 |
|
12 |
12 |
$39.87 |
| 77080 |
|
25 |
25 |
$31.01 |
| A9585 |
Gadobutrol injection |
13 |
12 |
$0.00 |