CEDAR LAKE OPEN MRI LLC
NPI: 1992078950
· BILOXI, MS 39532
· Diagnostic Radiology Physician
· NPI assigned 02/21/2012
$182K
Total Medicaid Paid
Provider Details
| Authorized Official | GARY, CHRYSTAL (DIRECTOR OF IMAGING) |
| NPI Enumeration Date | 02/21/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
446 |
$34K |
| 2019 |
287 |
$16K |
| 2020 |
316 |
$17K |
| 2021 |
347 |
$33K |
| 2022 |
353 |
$33K |
| 2023 |
179 |
$18K |
| 2024 |
303 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,564 |
1,112 |
$144K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
341 |
233 |
$19K |
| 73221 |
|
314 |
213 |
$18K |
| 72141 |
|
12 |
12 |
$677.89 |