Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Avalon Radiology INC

Avalon Radiology INC was paid $245K by Medicaid between Jan 2018 and Dec 2022, across 26 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 23% of everything it billed.

33Billing provider infoAVALON RADIOLOGY INC
RONCEVERTE, WV 24970
33aNPI1982722492assigned 03/26/2007
28Total paid$245K
24GClaims13,367
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers

Next to other Diagnostic Radiology Physician providers in West Virginia

Rank by total paid#12 of 33
Median peer was paid$15K
This provider vs. median17×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20183,762$72K
20191,804$33K
20202,384$52K
20212,548$41K
20222,869$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 23% 925 882 $56K
74176 Computed tomography, abdomen and pelvis; without contrast material 22% 1,131 1,077 $54K
70450 Computed tomography, head or brain; without contrast material 17% 1,536 1,470 $41K
71045 Radiologic examination, chest; single view 11% 4,693 3,398 $26K
71046 Radiologic examination, chest; 2 views 8.8% 2,642 2,497 $22K
77067 Screening mammography, bilateral, including computer-aided detection 7.5% 719 700 $18K
71275 Computed tomographic angiography, chest, with contrast material 1.6% 85 81 $4K
72125 Computed tomography, cervical spine; without contrast material 1.3% 84 80 $3K
72100 1.2% 252 245 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 66 64 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 68 68 $2K
73562 <1% 218 170 $2K
14 more codes
71250 <1% 80 $2K
73030 <1% 170 $1K
74018 <1% 171 $1K
73630 <1% 179 $1K
73610 <1% 92 $825.16
73110 <1% 76 $550.44
73130 <1% 54 $545.45
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 26 $530.04
74022 <1% 25 $402.31
78226 <1% 12 $271.26
74019 <1% 27 $249.30
93970 <1% 12 $228.42
76536 <1% 12 $144.01
72072 <1% 12 $86.03

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialROSE, HEATHER (PRESIDENT)