Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KELLY ULTRASOUND CENTER LLC

NPI: 1760779011 · GREENVILLE, SC 29615 · Sonography Radiologic Technologist · NPI assigned 07/07/2011

$2K
Total Medicaid Paid
15
Total Claims
12
Beneficiaries
1
Codes Billed
2020-08
First Month
2020-08
Last Month

Provider Details

Authorized OfficialDEARMAN, RICK (OWNER)
NPI Enumeration Date07/07/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 15 12 $2K