Medicaid Provider Spending

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

XDI ULTRASOUND

NPI: 1992885263 · SAN DIEGO, CA 92116 · Radiology Clinic/Center · NPI assigned 10/17/2006

$14K
Total Medicaid Paid
139
Total Claims
139
Beneficiaries
2
Codes Billed
2019-08
First Month
2023-08
Last Month

Provider Details

Authorized OfficialHERNANDEZ, SERGIO (CEO)
NPI Enumeration Date10/17/2006

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, SERGIO

ProviderCityStateTotal Paid
MEDTRONIC PUERTO RICO OPERATIONS GUAYNABO PR $19.74M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $2K
2021 25 $2K
2022 39 $4K
2023 63 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 102 102 $8K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 37 37 $6K