MINNESOTA DIAGNOSTIC IMAGING PARTNERS, LLC
NPI: 1922009471
· MAPLE GROVE, MN 55369
· Diagnostic Radiology Physician
· NPI assigned 08/09/2005
$132K
Total Medicaid Paid
Provider Details
| Authorized Official | CARLSON, KRISTEN (CREDENTIALING) |
| Parent Organization | MINNESOTA DIAGNOSTIC IMAGING PARTNERS, LLC |
| NPI Enumeration Date | 08/09/2005 |
Related Entities
Other providers sharing the same authorized official: CARLSON, KRISTEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
391 |
$3K |
| 2019 |
227 |
$17K |
| 2020 |
253 |
$15K |
| 2021 |
448 |
$25K |
| 2022 |
290 |
$18K |
| 2023 |
292 |
$17K |
| 2024 |
544 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,538 |
1,508 |
$116K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
165 |
164 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
429 |
407 |
$6K |
| 77080 |
|
81 |
79 |
$2K |
| 99072 |
|
167 |
161 |
$1K |
| 76642 |
|
13 |
12 |
$773.83 |
| 77085 |
|
13 |
13 |
$539.46 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
39 |
38 |
$279.68 |