MARTINSBURG RADIOLOGY ASSOC INC

$1.36M

Total Medicaid Paid

85,085

Total Claims

74,212

Beneficiaries

61

Codes Billed

2018-01

First Month

2021-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
74177		5,262	4,913	$272K
G9637	Doc >1 dose reduc tech	19,499	15,855	$188K
74176		3,955	3,699	$177K
G9551	Imag no les	5,776	5,363	$115K
71045		15,628	12,608	$98K
70450		3,289	2,948	$81K
77067		2,575	2,493	$59K
G9557	Ct/cta/mri/a no thyr <1.0cm	2,109	1,999	$48K
77063		2,167	2,108	$45K
71275		867	815	$41K
71046		5,478	5,162	$39K
76705		1,403	1,345	$25K
G9501	Rad expos ind/exp tm no doc	232	184	$22K
7025F		2,126	2,097	$21K
76641		762	670	$19K
3341F		1,377	1,354	$17K
71250		536	507	$15K
76830		523	494	$14K
93975		171	164	$7K
93971		348	315	$5K
71260		122	121	$5K
72148		83	82	$4K
72125		116	113	$4K
70553		55	52	$4K
70551		72	69	$3K
76801		85	80	$3K
76856		108	103	$3K
77001		34	29	$2K
76937		78	71	$2K
76770		131	126	$2K
93925		83	83	$2K
72131		59	54	$2K
G0279	Tomosynthesis, mammo	76	75	$2K
73721		37	35	$2K
73630		232	206	$1K
93978		39	39	$972.88
76817		33	30	$895.25
74018		130	125	$790.33
72110		90	81	$714.63
71047		55	54	$630.21
76775		25	25	$530.71
76700		24	24	$529.75
73564		40	37	$454.69
73030		74	71	$432.83
77066	Tomosynthesis, mammo	12	12	$379.77
93923		14	14	$347.82
93970		12	12	$274.80
73610		42	40	$259.47
76819		20	12	$257.90
76536		13	13	$247.52
71271		13	13	$212.58
73130		26	24	$147.45
73562		17	16	$112.87
73110		16	14	$69.25
73560		12	12	$69.25
72020		12	12	$42.94
36410		13	12	$38.78
G9321	Prev ct nuc med cnt doc 12mo	5,206	4,213	$1.87
G9322	No cnt ct nuc med doc 12mo	3,665	2,890	$0.82
3340F		12	12	$0.01
G9500	Rad expos ind/exp tm doc	16	13	$0.01

Medicaid Provider Spending