Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Foundation Radiology Group PC

Foundation Radiology Group PC was paid $8.94M by Medicaid between Jan 2018 and Dec 2024, across 119 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 23% of everything it billed.

33Billing provider infoFOUNDATION RADIOLOGY GROUP PC
WEXFORD, PA 15090
33aNPI1740482686assigned 06/04/2007
28Total paid$8.94M
24GClaims998,608
24DCodes billed119
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Vascular & Interventional Radiology Physician providers in Pennsylvania

Rank by total paid#2 of 42
Median peer was paid$3K
This provider vs. median3,271×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018281,635$1.79M
2019204,932$1.69M
2020175,614$1.48M
2021175,019$1.76M
2022105,978$1.49M
202335,020$526K
2024incomplete20,410$207K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 23% 43,832 38,215 $2.02M
70450 Computed tomography, head or brain; without contrast material 13% 58,494 48,820 $1.14M
74176 Computed tomography, abdomen and pelvis; without contrast material 13% 28,456 24,671 $1.14M
71045 Radiologic examination, chest; single view 8.8% 194,080 144,573 $785K
71275 Computed tomographic angiography, chest, with contrast material 6.4% 14,959 12,856 $572K
71046 Radiologic examination, chest; 2 views 4.7% 72,785 65,441 $424K
77067 Screening mammography, bilateral, including computer-aided detection 3.3% 14,009 13,367 $294K
93976 2.6% 9,980 8,993 $230K
72125 Computed tomography, cervical spine; without contrast material 2.4% 8,790 7,570 $211K
77063 Screening digital breast tomosynthesis, bilateral 1.6% 8,326 8,009 $144K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.5% 9,401 8,365 $132K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.5% 3,706 3,243 $131K
107 more codes
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.5% 2,435 $130K
71250 1.4% 5,756 $125K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.1% 2,547 $95K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 5,138 $89K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,260 $87K
76830 Ultrasound, transvaginal <1% 4,797 $82K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,895 $59K
73630 <1% 11,820 $56K
74018 <1% 11,458 $48K
76642 <1% 2,817 $47K
73610 <1% 8,840 $44K
73130 <1% 8,469 $42K
76801 <1% 1,447 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,082 $38K
76770 <1% 2,510 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,353 $36K
99053 <1% 101,844 $35K
73030 <1% 6,912 $34K
73221 <1% 1,092 $33K
70486 <1% 1,460 $33K
76536 <1% 2,329 $32K
70498 <1% 780 $32K
70496 <1% 780 $31K
72141 <1% 821 $30K
93971 <1% 2,464 $28K
72131 <1% 1,355 $27K
70491 <1% 842 $26K
73564 <1% 3,896 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,261 $20K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 885 $19K
73110 <1% 4,055 $19K
72100 <1% 2,880 $17K
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) <1% 157,012 $16K
72110 <1% 2,241 $14K
77066 Tomosynthesis, mammo <1% 676 $12K
77065 Tomosynthesis, mammo <1% 670 $12K
73502 <1% 2,383 $11K
71271 <1% 393 $11K
73562 <1% 2,061 $10K
78815 Positron emission tomography (PET) for limited area imaging <1% 235 $10K
76870 <1% 562 $10K
74178 <1% 248 $9K
G9551 Final reports for imaging studies without an incidentally found lesion noted <1% 86,353 $8K
78264 <1% 341 $7K
93970 <1% 441 $7K
73080 <1% 1,487 $6K
78227 <1% 302 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 399 $6K
73590 <1% 1,338 $5K
74183 <1% 81 $5K
72050 <1% 798 $5K
73090 <1% 1,134 $5K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 85 $4K
73560 <1% 1,033 $4K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 102 $4K
74019 <1% 610 $4K
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found <1% 35,104 $4K
73140 <1% 826 $3K
72072 <1% 639 $3K
71101 <1% 415 $3K
77062 <1% 196 $3K
74022 <1% 377 $2K
72040 <1% 354 $2K
73700 <1% 101 $2K
72158 <1% 29 $1K
77061 <1% 25 $1K
77080 <1% 167 $842.71
73552 <1% 198 $812.50
72128 <1% 26 $712.69
73060 <1% 157 $532.97
76882 <1% 41 $532.61
73718 <1% 16 $489.58
93880 <1% 27 $488.67
93925 <1% 43 $469.49
72052 <1% 63 $396.86
78582 <1% 28 $383.74
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 14 $347.24
73660 <1% 96 $337.60
76819 Fetal biophysical profile; without non-stress testing <1% 16 $332.40
74021 <1% 48 $316.93
78226 <1% 14 $312.88
71010 <1% 60 $288.41
99152 <1% 31 $283.31
76775 <1% 13 $213.67
73523 <1% 27 $195.74
93923 <1% 15 $180.32
76857 <1% 12 $168.84
72114 <1% 126 $151.22
76937 <1% 35 $126.08
72220 <1% 21 $107.64
77001 <1% 15 $100.10
73000 <1% 14 $64.32
70360 <1% 14 $63.81
72170 <1% 16 $61.95
74230 <1% 13 $59.07
71100 <1% 41 $18.40
7025F 0% 10,771 $0.00
3341F 0% 3,953 $0.00
3100F 0% 876 $0.00
G9547 Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols 0% 603 $0.00
G9754 A finding of an incidental pulmonary nodule 0% 43 $0.00
3342F 0% 2,702 $0.00
3340F 0% 134 $0.00
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 0% 1,321 $0.00
M1018 Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients 0% 75 $0.00
G9548 Final reports for imaging studies stating no follow-up imaging is recommended 0% 560 $0.00
3570F 0% 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBLODGETT, TODD (PRESIDENT)