Medicaid Provider Spending

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

COMPREHENSIVE DIAGNOSTIC IMAGING, LLC

NPI: 1962768143 · OKLAHOMA CITY, OK 73112 · Radiology Clinic/Center · NPI assigned 04/02/2012

$10K
Total Medicaid Paid
325
Total Claims
325
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHAST, LAURIE (OWNER)
NPI Enumeration Date04/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56 $2K
2022 102 $3K
2023 103 $3K
2024 64 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 101 101 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 56 56 $2K
77063 Screening digital breast tomosynthesis, bilateral 89 89 $2K
76830 Ultrasound, transvaginal 39 39 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 40 40 $1K