GREATOR MISSOURI IMAGING ASSOCIATES LLC
NPI: 1851144539
· COOS BAY, OR 97420
· Vascular & Interventional Radiology Physician
· NPI assigned 04/10/2024
$252.91
Total Medicaid Paid
Provider Details
| Authorized Official | BEACHY, LETICIA (DIRECTOR OF CREDENTIALING) |
| NPI Enumeration Date | 04/10/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
37 |
$252.91 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
25 |
24 |
$188.47 |
| 74018 |
|
12 |
12 |
$64.44 |