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ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC
ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC
NPI: 1932245974
· TUCSON, AZ 85743
· Medical Specialty Clinic/Center
· NPI assigned 01/29/2007
$863K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, JIN (CEO) |
| Parent Organization | ASSURED IMAGING WOMEN'S WELLNESS, LLC |
| NPI Enumeration Date | 01/29/2007 |
Related Entities
Other providers sharing the same authorized official: KIM, JIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,677 |
$113K |
| 2019 |
1,470 |
$113K |
| 2020 |
632 |
$59K |
| 2021 |
1,044 |
$104K |
| 2022 |
1,171 |
$111K |
| 2023 |
3,591 |
$215K |
| 2024 |
2,534 |
$147K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,942 |
7,326 |
$743K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,453 |
2,256 |
$95K |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
651 |
544 |
$15K |
| 76641 |
|
113 |
90 |
$7K |
| 77065 |
Tomosynthesis, mammo |
21 |
15 |
$1K |
| 76642 |
|
12 |
12 |
$893.95 |
| 96160 |
|
911 |
891 |
$503.57 |
| 77080 |
|
16 |
14 |
$373.78 |