NPI: 1871542670 · LEXINGTON, KY 40504 · Diagnostic Radiology Physician · NPI assigned 05/09/2006
| Authorized Official | KOSTELIC, JON (MEMBER) |
| NPI Enumeration Date | 05/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 211 | $28K |
| 2019 | 182 | $3K |
| 2020 | 125 | $13K |
| 2021 | 135 | $7K |
| 2022 | 40 | $77.02 |
| 2023 | 58 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 78815 | Positron emission tomography (PET) for limited area imaging | 76 | 69 | $48K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 598 | 565 | $4K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 33 | 28 | $4K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 19 | 16 | $3K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 25 | 24 | $949.00 |