GULFSOUTH RADIOLOGY P A

$4K

Total Medicaid Paid

613

Total Claims

527

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-06

Last Month

Authorized Official	STROBLE, ROBERT (SECRETARY TREASURER)
NPI Enumeration Date	09/29/2006

Year	Claims	Total Paid
2018	613	$4K

Code	Description	Claims	Beneficiaries	Total Paid
70450	Computed tomography, head or brain; without contrast material	61	59	$1K
71046	Radiologic examination, chest; 2 views	222	191	$1K
71045	Radiologic examination, chest; single view	260	213	$969.50
74018		12	12	$71.48
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)	58	52	$0.00

Medicaid Provider Spending