MODERN RADIOLOGY PSC
NPI: 1740503226
· COTO LAUREL, PR 00780
· Magnetic Resonance Imaging (MRI) Clinic/Center
· NPI assigned 03/11/2010
$111K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BERMUDEZ-RUIZ, GAMALIER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,044 |
$46K |
| 2019 |
829 |
$34K |
| 2020 |
753 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77066 |
Tomosynthesis, mammo |
1,092 |
717 |
$54K |
| 76641 |
|
1,329 |
475 |
$44K |
| 76830 |
Ultrasound, transvaginal |
146 |
75 |
$6K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
12 |
12 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
17 |
15 |
$674.42 |
| 77080 |
|
16 |
12 |
$164.74 |
| 72100 |
|
14 |
13 |
$151.40 |