MI ($943K) OR ($221K) MO ($127K) PA ($48K) WA ($8K) OK ($7K) MT ($6K) TX ($2K) OH ($2K) IN ($2K) FL ($831.80) CA ($265.56)
| Code | Description | Total Paid |
|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | $198K |
| A9585 | Injection, gadobutrol, 0.1 ml | $152K |
| 71046 | Radiologic examination, chest; 2 views | $118K |
| 76830 | Ultrasound, transvaginal | $109K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | $105K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | $101K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $52K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | $51K |
| 73630 | $50K | |
| 73562 | $40K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | GRAND RAPIDS, MI | 45,328 | $943K |
| 2 | CORVALLIS MRI A JOINT VENTURE | CORVALLIS, OR | 1,079 | $153K |
| 3 | MIDWEST IMAGING CENTER, LLC | FARMINGTON, MO | 1,461 | $127K |
| 4 | EAST LINN MRI, LLC | LEBANON, OR | 516 | $68K |
| 5 | EXTREMITY IMAGING PARTNERS INC | WEXFORD, PA | 278 | $48K |
| 6 | PROLIANCE SURGEONS, INC., P.S. | PUYALLUP, WA | 185 | $8K |
| 7 | OPENSIDED MRI OF OKLAHOMA CITY LLC | OKLAHOMA CITY, OK | 47 | $7K |
| 8 | MRI CENTER LLC | HELENA, MT | 31 | $6K |
| 9 | MCALLEN MRI, LLC | MCALLEN, TX | 155 | $2K |
| 10 | PDI TOLEDO, LLC | TOLEDO, OH | 13 | $2K |
| 11 | VERTICAL PLUS MRI OF AMERICA, LLC | MISHAWAKA, IN | 52 | $2K |
| 12 | PLANTATION OPEN MRI LLC | PLANTATION, FL | 25 | $433.29 |
| 13 | UNLIMITED DIAGNOSTIC CENTER INC | HIALEAH, FL | 69 | $398.51 |
| 14 | OPEN ADVANTAGE MRI VI, INC | SACRAMENTO, CA | 109 | $239.72 |
| 15 | JOHNSTON, SEAN | SANTA ANA, CA | 404 | $25.84 |