Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BUFFALO › DIAGNOSTIC X-RAY SERVICE INC

DIAGNOSTIC X-RAY SERVICE INC

NPI: 1750465423 · BUFFALO, NY 14214 · Physiological Laboratory · NPI assigned 10/25/2006

$81K
Total Medicaid Paid
1,050
Total Claims
1,026
Beneficiaries
4
Codes Billed
2018-10
First Month
2024-03
Last Month

Provider Details

Authorized OfficialWUERSTLE, JACOB (PRESIDENT)
NPI Enumeration Date10/25/2006

Related Entities

Other providers sharing the same authorized official: WUERSTLE, JACOB

ProviderCityStateTotal Paid
DIAGNOSTIC X-RAY SERVICE, INC. BUFFALO NY $123K
DIAGNOSTIC X-RAY SERVICE, INC. BUFFALO NY $82K
DIAGNOSTIC X-RAY SERVICE, INC. ERIE PA $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $3K
2019 110 $8K
2020 196 $14K
2021 357 $29K
2022 87 $7K
2023 189 $14K
2024 73 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 468 466 $46K
77063 Screening digital breast tomosynthesis, bilateral 429 429 $19K
76641 138 116 $14K
76642 15 15 $1K