Pueblo Radiology Medical Group INC

Pueblo Radiology Medical Group INC was paid $921K by Medicaid between Jan 2018 and Aug 2021, across 33 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 31% of everything it billed.

33Billing provider infoPUEBLO RADIOLOGY MEDICAL GROUP INC
SANTA BARBARA, CA 93105

33aNPI1871549899assigned 05/25/2006

33bProvider typeDiagnostic Radiology Physician

28Total paid$921K

24GClaims13,619

24DCodes billed33

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Diagnostic Radiology Physician providers in California

Rank by total paid#78 of 797

Median peer was paid$6K

This provider vs. median164×

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
2018	11,787	$801K
2019	869	$57K
2020	629	$41K
2021	334	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
77067	Screening mammography, bilateral, including computer-aided detection	31%	2,449	2,394	$287K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	2,536	2,513	$165K
77063	Screening digital breast tomosynthesis, bilateral	14%	2,351	2,351	$125K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	8.7%	494	466	$80K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	6.5%	203	189	$60K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	4.3%	569	569	$40K
76830	Ultrasound, transvaginal	3.4%	464	464	$31K
76700	Ultrasound, abdominal, real time with image documentation; complete	2.9%	542	541	$27K
76642		2.8%	385	341	$26K
72141		2.3%	172	159	$21K
71046	Radiologic examination, chest; 2 views	2.1%	985	976	$19K
71250		<1%	134	134	$7K

21 more codes

70551	Magnetic resonance imaging, brain; without contrast material	<1%	81	$7K
73221		<1%	63	$4K
76770		<1%	147	$3K
77066	Tomosynthesis, mammo	<1%	26	$3K
72100		<1%	200	$2K
77065	Tomosynthesis, mammo	<1%	31	$2K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	17	$2K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	26	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	23	$1K
A9585	Injection, gadobutrol, 0.1 ml	<1%	224	$1K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	14	$1K
74178		<1%	14	$1K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	364	$953.73
73030		<1%	97	$734.79
G0279	Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	<1%	60	$466.31
73630		<1%	33	$172.95
73502		<1%	16	$124.92
73562		<1%	16	$102.84
73564		<1%	16	$30.46
G9551	Final reports for imaging studies without an incidentally found lesion noted	0%	446	$0.00
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)	0%	421	$0.00

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.

From NPPES

Who's on the registration

Authorized officialHARTER, LAWRENCE (PRESIDENT)