Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VANTAGE OPEN MRI LLC

NPI: 1942239702 · OKLAHOMA CITY, OK 73120 · Magnetic Resonance Imaging (MRI) Clinic/Center · NPI assigned 07/02/2006

$3K
Total Medicaid Paid
48
Total Claims
48
Beneficiaries
1
Codes Billed
2018-02
First Month
2018-05
Last Month

Provider Details

Authorized OfficialWICKERSHAM, RANDY (VP OF OPERATIONS)
NPI Enumeration Date07/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
72148 Magnetic resonance imaging, lumbar spine; without contrast material 48 48 $3K