SAN DIEGO IMAGING - CHULA VISTA, LLC
NPI: 1801965058
· CHULA VISTA, CA 91911
· Magnetic Resonance Imaging (MRI) Clinic/Center
· NPI assigned 11/06/2006
$409K
Total Medicaid Paid
Provider Details
| Authorized Official | PADELFORD, RICK (BOARD OF DIRECTORS) |
| NPI Enumeration Date | 11/06/2006 |
Related Entities
Other providers sharing the same authorized official: PADELFORD, RICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
659 |
$69K |
| 2019 |
688 |
$71K |
| 2020 |
629 |
$63K |
| 2021 |
520 |
$54K |
| 2022 |
656 |
$49K |
| 2023 |
577 |
$47K |
| 2024 |
719 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,428 |
2,426 |
$283K |
| 76642 |
|
682 |
568 |
$49K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
776 |
776 |
$33K |
| 77066 |
Tomosynthesis, mammo |
156 |
156 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
147 |
147 |
$10K |
| 76830 |
Ultrasound, transvaginal |
143 |
143 |
$9K |
| 77080 |
|
29 |
29 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
42 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$1K |
| 77062 |
|
24 |
24 |
$864.00 |