Medicaid Provider Spending

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

RADIOLOGICAL PHYSICIAN ASSOCIATES INC

NPI: 1811996960 · FAIRMONT, WV 26554 · Diagnostic Radiology Physician · NPI assigned 07/20/2005

$11.04M
Total Medicaid Paid
622,769
Total Claims
565,217
Beneficiaries
144
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEON, JOHN (PRESIDENT)
NPI Enumeration Date07/20/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,848 $1.80M
2019 43,161 $873K
2020 74,829 $1.80M
2021 88,081 $1.05M
2022 127,679 $1.95M
2023 117,319 $1.90M
2024 101,852 $1.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 28,817 26,953 $1.89M
74176 Computed tomography, abdomen and pelvis; without contrast material 28,282 26,347 $1.74M
70450 Computed tomography, head or brain; without contrast material 35,600 32,888 $990K
71046 Radiologic examination, chest; 2 views 72,873 68,115 $633K
71045 Radiologic examination, chest; single view 112,573 95,556 $580K
77067 Screening mammography, bilateral, including computer-aided detection 17,403 16,988 $445K
71275 Computed tomographic angiography, chest, with contrast material 6,892 6,557 $357K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,915 5,671 $259K
76705 Ultrasound, abdominal, real time with image documentation; limited 11,370 10,723 $235K
77063 Screening digital breast tomosynthesis, bilateral 10,882 10,649 $199K
71250 6,234 5,866 $190K
72125 Computed tomography, cervical spine; without contrast material 5,394 5,170 $167K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 7,079 6,278 $163K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 3,531 3,434 $153K
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 24,700 20,304 $116K
76830 Ultrasound, transvaginal 5,307 5,063 $114K
73630 16,439 14,506 $100K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,488 2,358 $98K
76642 4,228 3,686 $96K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,358 1,326 $91K
74018 13,618 12,476 $90K
73564 10,251 8,623 $85K
73030 11,817 10,723 $79K
73610 12,512 11,298 $77K
72110 7,956 7,676 $75K
73130 11,088 9,617 $72K
76536 4,044 3,882 $71K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,392 2,165 $69K
70496 1,332 1,287 $67K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,965 2,858 $66K
70498 1,263 1,223 $63K
72141 1,381 1,349 $59K
74178 1,005 975 $58K
76882 3,448 2,726 $55K
73110 9,119 7,957 $54K
70551 Magnetic resonance imaging, brain; without contrast material 1,236 1,198 $53K
70486 2,156 2,100 $53K
74022 4,651 4,414 $52K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,691 1,644 $43K
73502 5,924 5,447 $43K
74019 5,660 5,298 $42K
73221 1,054 997 $42K
72131 1,444 1,389 $42K
G9551 Final reports for imaging studies without an incidentally found lesion noted 12,115 10,973 $41K
76770 1,734 1,679 $41K
70491 948 915 $38K
76819 Fetal biophysical profile; without non-stress testing 1,698 1,066 $37K
77066 Tomosynthesis, mammo 1,184 1,114 $36K
77065 Tomosynthesis, mammo 1,482 1,299 $36K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,963 1,617 $36K
72100 4,640 4,507 $32K
73562 5,490 4,740 $30K
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 3,713 3,534 $30K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 678 651 $28K
71271 922 891 $27K
78815 Positron emission tomography (PET) for limited area imaging 398 388 $27K
74183 397 390 $25K
76775 1,493 1,444 $25K
76870 1,291 1,231 $24K
73700 800 753 $23K
74150 603 583 $23K
72050 2,827 2,741 $23K
78227 866 843 $22K
73560 3,818 3,341 $19K
73590 4,065 3,520 $19K
72146 388 380 $17K
72158 237 230 $16K
73522 1,795 1,762 $16K
73080 2,922 2,673 $15K
73620 3,095 2,673 $15K
73090 3,044 2,736 $14K
93971 1,058 1,025 $14K
73120 2,629 2,200 $14K
76857 792 766 $11K
72040 1,659 1,613 $11K
76801 439 383 $11K
73140 2,716 2,457 $11K
71101 1,351 1,310 $11K
72072 1,534 1,506 $10K
74174 151 146 $10K
73600 1,738 1,621 $9K
G9638 Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 851 734 $9K
64483 89 86 $8K
77080 1,318 1,287 $8K
78454 179 172 $7K
72128 248 238 $7K
78264 295 289 $7K
73100 1,312 1,184 $7K
93880 263 260 $6K
73060 1,226 1,153 $6K
73070 1,138 1,058 $6K
72170 1,053 1,023 $6K
73552 1,051 972 $6K
73718 147 134 $6K
64484 73 71 $4K
72084 344 336 $4K
72074 574 559 $4K
72192 131 126 $4K
72070 690 674 $4K
73000 778 698 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 341 278 $4K
73200 132 131 $4K
72156 53 52 $4K
74021 422 402 $3K
78226 168 161 $3K
72202 403 400 $3K
70360 484 471 $3K
7025F 1,018 1,011 $3K
93970 131 127 $3K
72220 430 421 $2K
70487 69 67 $2K
73701 57 52 $2K
70490 54 54 $2K
75635 25 24 $2K
73020 367 339 $2K
78306 67 65 $2K
74246 58 55 $2K
73660 341 325 $1K
72114 96 93 $1K
72157 17 16 $1K
72195 26 25 $1K
70470 30 27 $1K
72052 116 111 $994.39
71100 149 143 $956.50
73523 101 99 $929.15
75574 13 13 $925.41
3341F 397 394 $813.90
72082 73 73 $713.58
74221 27 27 $497.05
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $412.10
74240 17 16 $411.00
72193 12 12 $399.37
74220 15 15 $289.68
71111 27 26 $264.68
70160 55 55 $258.53
76376 27 25 $239.83
70220 29 28 $162.92
77081 12 12 $73.03
70210 13 12 $56.64
74300 13 13 $50.79
77062 588 567 $0.00
3342F 40 40 $0.00
77061 381 361 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 57 51 $0.00