Imaging Center of Idaho, LLC
Imaging Center of Idaho, LLC was paid $2K by Medicaid between Feb 2020 and Feb 2020, across 1 billing code. Its largest line is 72148, Magnetic resonance imaging, lumbar spine; without contrast material — 100% of everything it billed.
33Billing provider infoIMAGING CENTER OF IDAHO, LLC
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1801090204assigned 06/12/2007
33bProvider typeBone Densitometry Radiologic Technologist
28Total paid$2K
24GClaims12
24DCodes billed1
24AFirst – last monthFeb 2020 – Feb 2020
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 12 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 100% | 12 | 12 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCLARK, GREGORY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gregory Clark, O.D., INC. | Coon Rapids, MN | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.