Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › CLOVIS › IMAGING CENTER OF CLOVIS, LLC

IMAGING CENTER OF CLOVIS, LLC

NPI: 1740563444 · CLOVIS, NM 88101 · Mammography Clinic/Center · NPI assigned 09/20/2011

$10K
Total Medicaid Paid
135
Total Claims
130
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialMAZZOLINI, JEANANNE (OWNER)
NPI Enumeration Date09/20/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 98 $7K
2019 37 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 50 50 $8K
71046 Radiologic examination, chest; 2 views 85 80 $2K