Medicaid Provider Spending

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

FPA HOSPITAL BASED

NPI: 1942543889 · NEW YORK, NY 10029 · Diagnostic Radiology Physician · NPI assigned 03/28/2013

$16.67M
Total Medicaid Paid
651,769
Total Claims
589,466
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHART, JOHN (ADMINISTRATIVE DIRECTOR)
NPI Enumeration Date03/28/2013

Related Entities

Other providers sharing the same authorized official: HART, JOHN

ProviderCityStateTotal Paid
FPA HOSPITAL BASED NEW YORK NY $4.05M
FPA HOSPITAL BASED NEW YORK NY $1.30M
WRAY COMMUNITY DISTRICT HOSPITAL WRAY CO $1.23M
WRAY COMMUNITY DISTRICT HOSPITAL WRAY CO $78K
MMI HOLDINGS LLC JOHNSON CITY TN $12K
MMI HOLDINGS LLC HOOVER AL $5K
HEARTLAND FOOT & ANKLE CLINIC PC MT PLEASANT IA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,883 $1.21M
2019 77,282 $2.11M
2020 94,769 $2.47M
2021 114,598 $2.91M
2022 127,627 $3.21M
2023 119,747 $2.94M
2024 71,863 $1.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 35,930 35,322 $3.11M
70450 Computed tomography, head or brain; without contrast material 52,901 49,690 $1.86M
77067 Screening mammography, bilateral, including computer-aided detection 32,442 32,329 $1.27M
71046 Radiologic examination, chest; 2 views 116,809 114,576 $1.21M
71045 Radiologic examination, chest; single view 139,031 95,251 $1.07M
77063 Screening digital breast tomosynthesis, bilateral 25,926 25,824 $712K
71275 Computed tomographic angiography, chest, with contrast material 8,834 8,678 $703K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,870 1,650 $454K
71250 7,621 7,507 $420K
76641 7,103 7,065 $371K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,237 4,138 $338K
78815 Positron emission tomography (PET) for limited area imaging 387 387 $326K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,634 2,562 $304K
76705 Ultrasound, abdominal, real time with image documentation; limited 10,664 10,309 $289K
72125 Computed tomography, cervical spine; without contrast material 5,049 4,924 $224K
70551 Magnetic resonance imaging, brain; without contrast material 2,990 2,928 $209K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,787 1,706 $206K
93975 3,634 3,503 $198K
70486 3,785 3,751 $179K
76830 Ultrasound, transvaginal 5,044 4,987 $176K
99284 Emergency department visit for the evaluation and management, high severity 1,055 991 $175K
74183 1,101 1,093 $168K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,696 1,038 $165K
76770 3,593 3,520 $118K
75574 1,010 1,009 $110K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,516 3,478 $104K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,546 2,537 $104K
99283 Emergency department visit for the evaluation and management, moderate severity 1,004 913 $93K
70496 1,258 1,189 $92K
70498 1,190 1,150 $85K
73630 8,830 8,317 $81K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,450 1,431 $81K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 981 969 $78K
76642 2,283 2,262 $78K
73562 7,112 6,922 $77K
74018 9,090 6,555 $74K
74174 779 733 $73K
93970 2,160 2,048 $69K
73030 7,071 6,789 $67K
93971 2,571 2,458 $60K
77066 Tomosynthesis, mammo 1,151 1,146 $60K
73130 6,046 5,613 $59K
77065 Tomosynthesis, mammo 1,377 1,299 $59K
72197 406 403 $54K
73564 3,402 3,337 $52K
93976 1,195 1,167 $50K
77062 654 653 $47K
73610 5,103 4,745 $46K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,359 1,204 $46K
70491 683 670 $44K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 127 127 $38K
88112 934 926 $36K
76536 1,156 1,137 $33K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 963 862 $30K
73560 3,043 2,922 $26K
72131 617 602 $26K
72100 2,346 2,335 $25K
77080 2,381 2,380 $25K
72141 319 313 $25K
73502 2,251 2,195 $25K
73110 2,671 2,405 $25K
73620 2,938 2,710 $21K
76870 625 609 $19K
73590 2,297 2,134 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,455 1,188 $17K
73221 165 163 $15K
71271 244 243 $15K
73600 1,664 1,558 $14K
76775 521 510 $14K
77061 208 206 $12K
73090 1,425 1,288 $11K
76801 248 234 $10K
73120 899 847 $8K
73080 770 723 $7K
73700 140 135 $6K
72170 761 751 $6K
70480 95 95 $6K
73140 792 755 $6K
71100 489 479 $5K
73070 638 584 $5K
72128 90 87 $4K
73060 464 428 $4K
88342 47 37 $3K
74247 90 88 $3K
72158 27 27 $3K
77049 12 12 $3K
76857 117 117 $3K
73552 278 259 $3K
0042T 30 30 $2K
74246 50 50 $2K
99152 99 93 $2K
75561 15 15 $2K
73100 190 175 $2K
70543 15 15 $1K
72040 118 117 $1K
99153 Mod sedat endo service >5yrs 72 67 $1K
74019 117 111 $1K
77085 70 70 $1K
72156 13 13 $1K
76937 81 74 $1K
76506 33 25 $1K
74178 13 13 $1K
73718 12 12 $793.39
72050 54 54 $723.19
76140 44 41 $566.62
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $547.43
72082 28 28 $508.07
72110 37 37 $479.33
72070 40 40 $394.44
74230 13 12 $296.43
77001 13 12 $283.62
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 13 $266.00
70220 16 16 $242.52
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 492 421 $192.60
77072 12 12 $165.62
G9327 Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements 3,557 3,301 $94.57
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) 41,112 39,184 $25.01
G9551 Final reports for imaging studies without an incidentally found lesion noted 15,988 15,608 $13.68
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 3,129 3,072 $1.17
G9638 Final reports without 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) 1,117 1,115 $0.16
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 264 251 $0.06
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 136 85 $0.00
99080 106 74 $0.00