NPI: 1891747614 · EAST LANSING, MI 48824 · Body Imaging Physician · NPI assigned 05/17/2006
| Authorized Official | RUCKER, LISA (ENROLLMENT & PATIENT ACCTS MANAGER) |
| NPI Enumeration Date | 05/17/2006 |
Other providers sharing the same authorized official: RUCKER, LISA
| Provider | City | State | Total Paid |
|---|---|---|---|
| MICHIGAN STATE UNIVERSITY | LANSING | MI | $2.38M |
| MICHIGAN STATE UNIVERSITY | EAST LANSING | MI | $1.04M |
| MICHIGAN STATE UNIVERSITY | EAST LANSING | MI | $920K |
| MICHIGAN STATE UNIVERSITY | EAST LANSING | MI | $732K |
| MICHIGAN STATE UNIVERSITY | EAST LANSING | MI | $239K |
| MICHIGAN STATE UNIVERSITY | EAST LANSING | MI | $129K |
| MICHIGAN STATE UNIVERSITY | EAST LANSING | MI | $104K |
| BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY | EAST LANSING | MI | $77K |
| BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY | LANSING | MI | $23K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,814 | $197K |
| 2019 | 3,837 | $179K |
| 2020 | 1,482 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70553 | 627 | 611 | $106K | |
| 73721 | 720 | 679 | $84K | |
| 72148 | 454 | 439 | $46K | |
| 73221 | 269 | 258 | $30K | |
| 77067 | 348 | 346 | $26K | |
| 72141 | 211 | 204 | $21K | |
| 73630 | 978 | 749 | $16K | |
| 73130 | 817 | 624 | $14K | |
| 76536 | 233 | 224 | $13K | |
| 73110 | 598 | 514 | $11K | |
| 73610 | 495 | 400 | $9K | |
| 71046 | 478 | 465 | $8K | |
| 73030 | 395 | 350 | $6K | |
| 72110 | 225 | 219 | $5K | |
| 74018 | 311 | 291 | $4K | |
| 72170 | 270 | 266 | $4K | |
| 73564 | 196 | 176 | $4K | |
| 73562 | 176 | 121 | $3K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 390 | 380 | $3K |
| 76642 | 60 | 51 | $2K | |
| 76700 | 39 | 38 | $2K | |
| 74177 | 14 | 14 | $2K | |
| 70551 | 15 | 15 | $2K | |
| 99223 | Prolong inpt eval add15 m | 14 | 12 | $1K |
| 76881 | 33 | 24 | $1K | |
| 73560 | 69 | 65 | $1K | |
| 73502 | 54 | 51 | $1K | |
| 73080 | 40 | 38 | $662.74 | |
| 72114 | 13 | 13 | $413.60 | |
| 77073 | 12 | 12 | $287.60 | |
| A9578 | Injection, gadobenate dimeglumine (multihance multipack), per ml | 579 | 536 | $0.00 |