Budihardjo, Philip

Budihardjo, Philip was paid $3K by Medicaid between Mar 2023 and May 2023, across 5 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 47% of everything it billed.

33Billing provider infoBUDIHARDJO, PHILIP
BELOIT, WI 53511

33aNPI1811198344assigned 05/31/2007

33bProvider typeDiagnostic Radiology Physician

28Total paid$3K

24GClaims436

24DCodes billed5

24AFirst – last monthMar 2023 – May 2023

Compared with peers

Next to other Diagnostic Radiology Physician providers in Wisconsin

Rank by total paid#77 of 156

Median peer was paid$3K

This provider vs. median1.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2023	436	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
74177	Computed tomography, abdomen and pelvis; with contrast material	47%	69	36	$1K
70450	Computed tomography, head or brain; without contrast material	22%	44	24	$700.44
71260	Computed tomography, thorax, diagnostic; with contrast material	17%	14	13	$549.10
71045	Radiologic examination, chest; single view	7.9%	173	72	$250.97
71046	Radiologic examination, chest; 2 views	5.6%	136	67	$177.41

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.