SOUTHERN CALIFORNIA MOBILE X-RAY, LLC.
NPI: 1780021857
· LAGUNA BEACH, CA 92651
· Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
· NPI assigned 05/30/2013
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | LIU, JASON (MEMBER) |
| NPI Enumeration Date | 05/30/2013 |
Related Entities
Other providers sharing the same authorized official: LIU, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
223 |
$3K |
| 2021 |
1,253 |
$24K |
| 2022 |
2,515 |
$43K |
| 2023 |
1,701 |
$30K |
| 2024 |
690 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
1,011 |
937 |
$57K |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
990 |
885 |
$20K |
| Q0092 |
Set-up portable x-ray equipment |
2,134 |
1,829 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,745 |
1,502 |
$12K |
| 74018 |
|
256 |
227 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
144 |
135 |
$997.86 |
| 73560 |
|
75 |
55 |
$519.58 |
| 73030 |
|
27 |
25 |
$76.02 |