OPEN ADVANTAGE MRI VI, INC
NPI: 1962427641
· SACRAMENTO, CA 95825
· Magnetic Resonance Imaging Radiologic Technologist
· NPI assigned 07/13/2006
$239.72
Total Medicaid Paid
Provider Details
| Authorized Official | OLIVAS, CRYSTAL (CONTRACTS COORDINATOR) |
| NPI Enumeration Date | 07/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
94 |
$239.72 |
| 2020 |
15 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
92 |
89 |
$191.84 |
| 72141 |
|
17 |
17 |
$47.88 |