Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Martinsburg Radiology Assoc INC

Martinsburg Radiology Assoc INC was paid $1.36M by Medicaid between Jan 2018 and Dec 2021, across 61 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 20% of everything it billed.

33Billing provider infoMARTINSBURG RADIOLOGY ASSOC INC
MARTINSBURG, WV 25401
33aNPI1922092568assigned 09/09/2005
28Total paid$1.36M
24GClaims85,085
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Diagnostic Radiology Physician providers in West Virginia

Rank by total paid#7 of 33
Median peer was paid$15K
This provider vs. median92×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201825,308$540K
201912,258$239K
202024,054$312K
202123,465$266K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 20% 5,262 4,913 $272K
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) 14% 19,499 15,855 $188K
74176 Computed tomography, abdomen and pelvis; without contrast material 13% 3,955 3,699 $177K
G9551 Final reports for imaging studies without an incidentally found lesion noted 8.5% 5,776 5,363 $115K
71045 Radiologic examination, chest; single view 7.2% 15,628 12,608 $98K
70450 Computed tomography, head or brain; without contrast material 6.0% 3,289 2,948 $81K
77067 Screening mammography, bilateral, including computer-aided detection 4.4% 2,575 2,493 $59K
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 3.6% 2,109 1,999 $48K
77063 Screening digital breast tomosynthesis, bilateral 3.3% 2,167 2,108 $45K
71275 Computed tomographic angiography, chest, with contrast material 3.1% 867 815 $41K
71046 Radiologic examination, chest; 2 views 2.9% 5,478 5,162 $39K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.9% 1,403 1,345 $25K
49 more codes
G9501 Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given 1.6% 232 $22K
7025F 1.5% 2,126 $21K
76641 1.4% 762 $19K
3341F 1.2% 1,377 $17K
71250 1.1% 536 $15K
76830 Ultrasound, transvaginal 1.0% 523 $14K
93975 <1% 171 $7K
93971 <1% 348 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 122 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 83 $4K
72125 Computed tomography, cervical spine; without contrast material <1% 116 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 55 $4K
70551 Magnetic resonance imaging, brain; without contrast material <1% 72 $3K
76801 <1% 85 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 108 $3K
77001 <1% 34 $2K
76937 <1% 78 $2K
76770 <1% 131 $2K
93925 <1% 83 $2K
72131 <1% 59 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 76 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 37 $2K
73630 <1% 232 $1K
93978 <1% 39 $972.88
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 33 $895.25
74018 <1% 130 $790.33
72110 <1% 90 $714.63
71047 <1% 55 $630.21
76775 <1% 25 $530.71
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 24 $529.75
73564 <1% 40 $454.69
73030 <1% 74 $432.83
77066 Tomosynthesis, mammo <1% 12 $379.77
93923 <1% 14 $347.82
93970 <1% 12 $274.80
73610 <1% 42 $259.47
76819 Fetal biophysical profile; without non-stress testing <1% 20 $257.90
76536 <1% 13 $247.52
71271 <1% 13 $212.58
73130 <1% 26 $147.45
73562 <1% 17 $112.87
73110 <1% 16 $69.25
73560 <1% 12 $69.25
72020 <1% 12 $42.94
36410 <1% 13 $38.78
G9321 Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study <1% 5,206 $1.87
G9322 Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given <1% 3,665 $0.82
3340F <1% 12 $0.01
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy <1% 16 $0.01

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMISAILIDIS, DIMITRI (PRESIDENT)