PUEBLO MEDICAL IMAGING, LLC
NPI: 1952353591
· LAS VEGAS, NV 89118
· Neuroradiology Physician
· NPI assigned 05/16/2006
$458K
Total Medicaid Paid
Provider Details
| Authorized Official | NIELSEN, MICAH (PRESIDENT) |
| NPI Enumeration Date | 05/16/2006 |
Related Entities
Other providers sharing the same authorized official: NIELSEN, MICAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
284 |
$15K |
| 2019 |
628 |
$56K |
| 2020 |
513 |
$35K |
| 2021 |
849 |
$74K |
| 2022 |
849 |
$77K |
| 2023 |
1,252 |
$97K |
| 2024 |
1,179 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,924 |
2,814 |
$320K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,157 |
2,088 |
$107K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
81 |
74 |
$9K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
106 |
103 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
36 |
$5K |
| 76642 |
|
51 |
48 |
$4K |
| 77066 |
Tomosynthesis, mammo |
21 |
20 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
163 |
152 |
$3K |
| 76536 |
|
12 |
12 |
$1K |