Medicaid Provider Spending

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

SM IMAGING PSC

NPI: 1770915894 · MANATI, PR 00974 · Mammography Clinic/Center · NPI assigned 07/31/2013

$38K
Total Medicaid Paid
1,955
Total Claims
1,786
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialDIAZ, ANTONIO (PRESIDENT SMI)
NPI Enumeration Date07/31/2013

Related Entities

Other providers sharing the same authorized official: DIAZ, ANTONIO

ProviderCityStateTotal Paid
CLINICAL CARE NETWORK, INC MIAMI FL $858.59

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $694.44
2019 653 $8K
2020 373 $4K
2021 95 $2K
2022 305 $8K
2023 161 $5K
2024 209 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99152 585 544 $8K
99153 Mod sedat endo service >5yrs 563 525 $7K
99223 Prolong inpt eval add15 m 49 25 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 121 104 $6K
36902 28 24 $3K
77001 332 305 $2K
76937 193 177 $1K
99217 33 31 $891.60
99242 39 39 $862.00
77012 12 12 $257.88