Physician
Modesto Radiological Medical Group, INC.
Modesto Radiological Medical Group, INC. was paid $7.17M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 27% of everything it billed.
33Billing provider infoMODESTO RADIOLOGICAL MEDICAL GROUP, INC.
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1992747547assigned 06/11/2006
33bProvider typeBody Imaging Physician
28Total paid$7.17M
24GClaims364,491
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Body Imaging Physician providers in California
Rank by total paid#3 of 66
Median peer was paid$3K
This provider vs. median2,078×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 65,033 | $1.24M | |
| 2019 | 71,385 | $1.27M | |
| 2020 | 58,027 | $1.08M | |
| 2021 | 47,157 | $907K | |
| 2022 | 40,940 | $767K | |
| 2023 | 46,198 | $1.07M | |
| 2024incomplete | 35,751 | $844K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 27% | 25,222 | 24,610 | $1.91M |
| 70450 | Computed tomography, head or brain; without contrast material | 16% | 40,075 | 37,754 | $1.14M |
| 71045 | Radiologic examination, chest; single view | 14% | 152,638 | 129,460 | $1.00M |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 12% | 13,159 | 12,561 | $851K |
| 71046 | Radiologic examination, chest; 2 views | 8.0% | 59,935 | 59,389 | $572K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 5.0% | 9,076 | 9,067 | $357K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 1.8% | 1,975 | 1,898 | $128K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.6% | 3,166 | 3,057 | $118K |
| 70498 | 1.6% | 2,092 | 2,027 | $117K | |
| 70496 | 1.6% | 2,089 | 2,022 | $117K | |
| 99152 | 1.2% | 3,238 | 3,029 | $84K | |
| 74018 | 1.0% | 11,209 | 10,119 | $75K |
55 more codes
| 76642 | 1.0% | 2,303 | $72K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 2,542 | $67K |
| 76801 | <1% | 1,788 | $57K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 2,411 | $55K |
| 99153 | Mod sedat endo service >5yrs | <1% | 2,399 | $38K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,487 | $37K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 885 | $35K |
| 73630 | <1% | 4,442 | $34K | |
| 77065 | Tomosynthesis, mammo | <1% | 979 | $32K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,005 | $26K |
| 73610 | <1% | 3,001 | $24K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 749 | $23K |
| 73130 | <1% | 2,693 | $21K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 446 | $20K |
| 73030 | <1% | 2,252 | $18K | |
| 73562 | <1% | 2,317 | $16K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 464 | $14K |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 67 | $13K |
| 93971 | <1% | 877 | $13K | |
| 77066 | Tomosynthesis, mammo | <1% | 265 | $12K |
| 76830 | Ultrasound, transvaginal | <1% | 392 | $10K |
| 73110 | <1% | 1,245 | $9K | |
| 72131 | <1% | 237 | $8K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 64 | $6K |
| 93976 | <1% | 159 | $6K | |
| 76770 | <1% | 175 | $5K | |
| 49083 | <1% | 72 | $4K | |
| 72128 | <1% | 118 | $4K | |
| 71020 | <1% | 449 | $3K | |
| 99053 | <1% | 275 | $3K | |
| 93970 | <1% | 62 | $3K | |
| 71010 | <1% | 437 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 74 | $2K |
| 76937 | <1% | 292 | $2K | |
| 73590 | <1% | 307 | $2K | |
| 72100 | <1% | 156 | $2K | |
| 73090 | <1% | 211 | $2K | |
| 70486 | <1% | 37 | $1K | |
| 73080 | <1% | 138 | $1K | |
| 77012 | <1% | 14 | $490.54 | |
| 73502 | <1% | 65 | $468.10 | |
| 78582 | <1% | 13 | $379.54 | |
| 73140 | <1% | 83 | $278.01 | |
| 74019 | <1% | 29 | $269.37 | |
| 72040 | <1% | 26 | $231.93 | |
| 74000 | <1% | 32 | $160.96 | |
| 77080 | <1% | 16 | $158.60 | |
| 77001 | <1% | 14 | $156.19 | |
| 72110 | <1% | 12 | $140.41 | |
| 74022 | <1% | 12 | $135.48 | |
| 73560 | <1% | 18 | $124.20 | |
| 73620 | <1% | 12 | $71.10 | |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | <1% | 162 | $31.19 |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 1,566 | $0.00 |
| G9756 | Surgical procedures that included the use of silicone oil | 0% | 271 | $0.00 |
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 officialZEPPA, MICHAEL (PRESIDENT)