PREMIER DIAGNOSTIC IMAGING, LLC
NPI: 1730130345
· COOKEVILLE, TN 38501
· 174400000X
$1.11M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
690 |
$75K |
| 2019 |
908 |
$92K |
| 2020 |
922 |
$91K |
| 2021 |
3,595 |
$276K |
| 2022 |
3,775 |
$215K |
| 2023 |
3,733 |
$223K |
| 2024 |
2,660 |
$141K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
|
3,996 |
3,473 |
$497K |
| 77067 |
|
3,316 |
2,970 |
$228K |
| 72141 |
|
1,103 |
938 |
$126K |
| 73721 |
|
1,365 |
1,147 |
$112K |
| 77063 |
|
2,580 |
2,319 |
$58K |
| 71046 |
|
1,823 |
1,672 |
$35K |
| 73221 |
|
415 |
341 |
$33K |
| 72110 |
|
293 |
271 |
$6K |
| A9585 |
Gadobutrol injection |
274 |
131 |
$3K |
| 76700 |
|
43 |
37 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
750 |
322 |
$2K |
| 76705 |
|
42 |
38 |
$2K |
| 76642 |
|
27 |
24 |
$2K |
| 70551 |
|
14 |
12 |
$2K |
| 76536 |
|
30 |
29 |
$2K |
| 71260 |
|
13 |
12 |
$1K |
| 73030 |
|
56 |
40 |
$594.92 |
| 76830 |
|
16 |
12 |
$529.31 |
| 72100 |
|
27 |
25 |
$308.27 |
| 73502 |
|
14 |
12 |
$273.61 |
| 74018 |
|
12 |
12 |
$257.58 |
| 73564 |
|
13 |
12 |
$246.72 |
| 82565 |
|
61 |
53 |
$54.41 |