DE, SOUMO
NPI: 1841553054
· DUARTE, CA 91010
· Diagnostic Radiology Physician
· NPI assigned 06/21/2012
$206.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
63 |
$85.69 |
| 2021 |
38 |
$120.71 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
81 |
77 |
$119.14 |
| 70450 |
Computed tomography, head or brain; without contrast material |
20 |
20 |
$87.26 |