DELTA RADIOLOGY, INC.

$3.27M

Total Medicaid Paid

119,483

Total Claims

111,690

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
74177		11,293	10,822	$988K
70450		11,347	10,720	$388K
74176		5,026	4,733	$384K
77067		2,100	2,099	$340K
71046		23,643	23,013	$254K
71045		25,833	23,182	$199K
76705		6,477	6,287	$151K
76830		2,408	2,346	$77K
76856		2,339	2,273	$72K
93976		873	865	$47K
76815		1,228	1,150	$36K
71275		458	427	$34K
73562		4,161	3,663	$34K
73630		3,763	3,503	$32K
73610		3,222	3,078	$28K
71260		513	489	$26K
73130		2,678	2,489	$24K
73030		2,478	2,274	$23K
76801		622	578	$21K
73110		2,346	2,182	$19K
74018		2,101	1,870	$18K
72125		378	340	$13K
76642		82	76	$8K
93971		410	403	$7K
76817		174	155	$7K
70551		86	83	$6K
76700		147	139	$4K
73564		421	224	$3K
73080		279	271	$3K
74019		221	214	$2K
71250		52	52	$2K
73502		192	187	$2K
73090		242	226	$2K
76857		52	52	$2K
76770		62	61	$2K
72100		153	153	$2K
73590		238	222	$2K
71020		197	152	$2K
72131		36	36	$1K
93970		13	13	$642.98
72110		14	14	$442.19
71010		22	19	$137.52
73140		29	28	$109.08
72170		16	12	$81.09
G9756	Surgical procedures that included the use of silicone oil	109	99	$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)	949	416	$0.00

Medicaid Provider Spending