IMAGING CENTERS FOR EXCELLENCE, LLC
NPI: 1730281148
· STARKVILLE, MS 39759
· 261QR0200X
$125K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,416 |
$58K |
| 2019 |
2,407 |
$43K |
| 2020 |
1,358 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,961 |
1,761 |
$74K |
| 87880 |
|
1,390 |
1,211 |
$13K |
| 99214 |
|
360 |
315 |
$12K |
| 87804 |
|
870 |
379 |
$8K |
| 99212 |
|
347 |
300 |
$7K |
| 96372 |
|
386 |
322 |
$4K |
| 99201 |
|
125 |
106 |
$3K |
| 99203 |
|
60 |
59 |
$2K |
| 85025 |
|
281 |
259 |
$1K |
| 36415 |
|
87 |
81 |
$567.46 |
| 36416 |
|
98 |
86 |
$342.36 |
| J0696 |
Ceftriaxone sodium injection |
73 |
57 |
$75.04 |
| 81002 |
|
12 |
12 |
$50.51 |
| J1100 |
Dexamethasone sodium phos |
57 |
46 |
$29.23 |
| 99000 |
|
58 |
55 |
$0.00 |
| 87635 |
|
16 |
16 |
$0.00 |