Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › LEWISTON › SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC

SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC

NPI: 1982037107 · LEWISTON, ID 83501 · Body Imaging Physician · NPI assigned 08/12/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DILLON, TERRANCE controls 20+ related entities in our dataset. Read more

$19K
Total Medicaid Paid
1,303
Total Claims
1,254
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDILLON, TERRANCE (ASST SECRETARY)
NPI Enumeration Date08/12/2013

Related Entities

Other providers sharing the same authorized official: DILLON, TERRANCE

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Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 208 $3K
2019 234 $3K
2020 246 $5K
2021 301 $5K
2022 194 $2K
2023 44 $378.97
2024 76 $515.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 786 774 $14K
99152 265 240 $2K
99205 Prolong outpt/office vis 25 24 $2K
76937 184 176 $883.28
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 25 $417.01
99153 Mod sedat endo service >5yrs 16 15 $162.52