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Lloyd Stambaugh, MD

Diagnostic Radiology · San Jose

NPI 1568440089

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
36
Since medical school
32 years
Duke University School of Medicine, 1994

Offices

36 locations · County of Santa Clara · Synergy Radiology LLC · Radia Inc P S · Radiology Associates PA · Swedish Radia Imaging Center at Edmonds LLC · Optum Care Washington PLLC · Evergreen Radia LLC · South Sound Radiologists Inc P S · Okanogan County Public Hospital District No. 3 · Swedish Health Services · Radia California Radiology Medical Group Inc · Pet-Ct Imaging at Swedish Cancer Institute LLC · Radia Imaging Center Holdings LLC · Public Hospital District No 4 King County Washington · Okanogan County Public Hospital Dist No 4 · Central Washington Health Services Association · Illinois Diagnostic and Interventional Radiology PLLC · Medford Radiological Group PC · Yakima Valley Memorial Physicians

Looking this up.

Hospitals listed: Northwest Specialty Hospital · Overlake Hospital Medical Center & Clinics · Providence Centralia Hospital · Providence Holy Cross Medical Center · Providence St Peter Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Stambaugh’s office to ask if they take your plan before you enroll.

State licence records

1 licence

  • Washington MD.MD.00040054Physician And Surgeon License · since 2001 · expires 2028-03-31
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

5 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Northwest Specialty HospitalPost Falls, IDAcute Care Hospital · Proprietary · No emergency departmentPatients rate it 4 of 5 · 83% would definitely recommend it
    No overall ratingNo measure marked better or worse than the national rate
  • Overlake Hospital Medical Center & ClinicsBellevue, WAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Overlake Medical Center and ClinicsPatients rate it 4 of 5 · 79% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Abdominal Hysterectomy: 2.969, Oct 2024 – Sep 2025Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.33, Oct 2024 – Sep 2025
  • Providence Centralia HospitalCentralia, WAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 61% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.271, Oct 2024 – Sep 2025
  • Providence Holy Cross Medical CenterMission Hills, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 78% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.404, Oct 2024 – Sep 2025
  • Providence St Peter HospitalOlympia, WAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.36 (1.11 to 1.61), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.46 (0.92 to 2.01) · 7,345 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Colon Surgery: 2.796, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.494, Oct 2024 – Sep 2025
See every measure and the patient survey for Northwest Specialty Hospital

Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 1 better, 3 the same, 0 worse of 4 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Northwest Specialty Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.2 to 2.3) · 428 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.42 to 1.34)No differentJul 2022 – Jun 2024
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 399 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.03 to 0.5) · 642 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.47) · 644 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.58 (0.31 to 4.85) · 649 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.56 (0 to 3.24) · 640 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.34 (0.71 to 3.96) · 621 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.48 (0 to 13.87) · 637 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.48 (1.67 to 9.3) · 595 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.73 (0.21 to 3.25) · 262 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.86) · 211 casesNo differentJul 2022 – Jun 2024
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.9 (3.1 to 8) · 34 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (6.9 to 14.7) · 34 casesNo differentJan 2024 – Dec 2024
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.5 (10.4 to 17.7) · 1,179 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 840 casesNo differentJan 2024 – Dec 2024

What patients said (439 patients answered, 49% of those asked)

Patient survey stars by topic at Northwest Specialty Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines4
Discharge information4
Overall hospital rating4
Quietness4
Recommend hospital5
Share of patients giving the best answer at Northwest Specialty Hospital
Room was "always" clean74%
Nurses "always" communicated well81%
Doctors "always" communicated well84%
Staff "always" explained69%
Yes, staff "did" give patients this information91%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand80%
Doctors "always" listened carefully83%
Doctors "always" treated them with courtesy and respect88%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications81%
Nurses "always" explained things so they could understand79%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night62%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects56%
Yes, staff "did" give patients information about possible symptoms92%
See every measure and the patient survey for Overlake Hospital Medical Center & Clinics

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Overlake Hospital Medical Center & Clinics
SSI - Abdominal HysterectomyInfections2.969WorseOct 2024 – Sep 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.33BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.43 (0.49 to 2.37) · 1,094 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.98 (0.68 to 1.29)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths219.06 (166.89 to 271.22) · 57 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.3 · 59 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths14.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths14.2 · 123 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.6 · 417 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.2 · 375 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 381 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 3,665 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.4) · 5,678 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.29 (0.09 to 0.48) · 5,701 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,767 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.25 (0.78 to 3.73) · 867 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.66 (1.25 to 4.07) · 1,703 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.06 (5.24 to 16.87) · 850 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.41 (1.01 to 7.81) · 830 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.27 (0.8 to 3.75) · 355 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.38 (0 to 1.09) · 4,643 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 60 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.582No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.7No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.91No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.4 · 221 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19 · 700 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits50.4 · 136 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.7 · 450 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits36.3 · 347 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.5 · 578 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.1 to 8.1) · 32 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.9 (6.5 to 14.7) · 32 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 63 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.1 · 77 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 90 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.8 to 17.7) · 189 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.9 to 1.4) · 937 casesNo differentJan 2024 – Dec 2024

What patients said (788 patients answered, 25% of those asked)

Patient survey stars by topic at Overlake Hospital Medical Center & Clinics
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Overlake Hospital Medical Center & Clinics
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained60%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night58%
"YES", patients would definitely recommend the hospital79%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for Providence Centralia Hospital

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Providence Centralia Hospital
Clostridium Difficile (C.Diff)Infections0.271BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0 to 2.01) · 292 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.5 to 1.33)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.6 · 50 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.3 · 67 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 193 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.9 · 170 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.3 · 149 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 1,276 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.42) · 2,349 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 2,279 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.95 (0.52 to 5.38) · 312 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.32) · 65 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.22 (0.52 to 3.91) · 284 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.18 (0 to 16.09) · 64 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.9 (0.7 to 9.1) · 59 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.01 (0.51 to 3.5) · 103 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.71 (0 to 1.68) · 1,980 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.3 · 33 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.315No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.89No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.7 · 57 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.5 · 277 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits1 · 198 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-22.8 · 168 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.7 · 228 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.6 to 7.9) · 489 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.7 (10.1 to 15.4) · 489 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 43 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.5 · 98 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.5 to 16.6) · 661 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 138 casesNo differentJan 2024 – Dec 2024

What patients said (497 patients answered, 20% of those asked)

Patient survey stars by topic at Providence Centralia Hospital
Cleanliness2
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Providence Centralia Hospital
Room was "always" clean60%
Nurses "always" communicated well77%
Doctors "always" communicated well77%
Staff "always" explained58%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)65%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night48%
"YES", patients would definitely recommend the hospital61%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Providence Holy Cross Medical Center

Behind the star rating — Deaths: 1 better, 6 the same, 0 worse of 7 measures. Safety: 1 better, 7 the same, 0 worse of 8 measures. Readmissions: 1 better, 7 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Providence Holy Cross Medical Center
Clostridium Difficile (C.Diff)Infections0.404BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0.05 to 1.9) · 1,299 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.93 (0.62 to 1.24)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths168.53 (119.32 to 217.74) · 78 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.5 · 42 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 84 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths7.7 · 496 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths11.9 · 297 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 316 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 2,960 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0.01 to 0.42) · 5,542 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.06 to 0.45) · 5,701 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.08 (1.02 to 5.14) · 1,284 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.44 (0 to 3.05) · 343 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.92 (0.45 to 3.4) · 1,235 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.25 (4.38 to 18.11) · 383 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.75 (2.09 to 9.41) · 353 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.96 (0.48 to 3.44) · 313 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.29 (0 to 0.91) · 4,791 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.3 · 166 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.258No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.091No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.947No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.638No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.691No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.4 · 196 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.1 · 948 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-36.2 · 85 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits0.1 · 626 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits10.5 · 315 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17 · 548 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.3 to 8.1) · 30 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.4 (7.2 to 15) · 30 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 152 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.7 · 39 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.3 · 104 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.1 (9.8 to 17.5) · 218 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.3 (0.9 to 1.7) · 119 casesNo differentJan 2024 – Dec 2024

What patients said (439 patients answered, 15% of those asked)

Patient survey stars by topic at Providence Holy Cross Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital4
Share of patients giving the best answer at Providence Holy Cross Medical Center
Room was "always" clean74%
Nurses "always" communicated well79%
Doctors "always" communicated well78%
Staff "always" explained62%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night48%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Providence St Peter Hospital

Behind the star rating — Deaths: 1 better, 6 the same, 1 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 1 better, 6 the same, 2 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Providence St Peter Hospital
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.36 (1.11 to 1.61)WorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.46 (0.92 to 2.01) · 7,345 casesWorseJul 2022 – Jun 2024
SSI - Colon SurgeryInfections2.796WorseOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.494BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.47 (0.58 to 2.36) · 1,673 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths189.32 (153.02 to 225.63) · 154 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.2 · 106 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.6 · 115 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.2 · 408 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 591 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.4 · 384 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.9 · 489 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4 · 5,417 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 8,728 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.32 (0.14 to 0.5) · 8,914 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.98 (1.27 to 4.68) · 3,000 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.39 (1.08 to 3.69) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.93 (0.67 to 3.18) · 2,827 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.64 (7.09 to 16.19) · 1,423 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.39 (3.33 to 9.44) · 1,391 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.43 (1.01 to 3.86) · 578 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.8 · 92 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.776No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.576No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.418No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.739No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.6 · 713 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.9 · 1,010 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits27.5 · 424 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits23.2 · 633 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-10.5 · 368 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.4 · 628 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6 · 93 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 222 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.5 (10.1 to 17.9) · 266 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.4) · 893 casesNo differentJan 2024 – Dec 2024

What patients said (446 patients answered, 25% of those asked)

Patient survey stars by topic at Providence St Peter Hospital
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Providence St Peter Hospital
Room was "always" clean73%
Nurses "always" communicated well77%
Doctors "always" communicated well76%
Staff "always" explained62%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night51%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$358,164

Medicare paid this office $358,164 for 2,481 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Piflufolastat f-18, diagnostic, 1 millicurie19$91,270$510
Nuclear medicine study from skull base to mid-thigh with ct scan66$74,160$1,107
Ct scan of abdomen and pelvis with contrast111$24,331$206
Mri scan of abdomen before and after contrast68$16,072$220
Mri scan of pelvis before and after contrast59$12,057$198
See all 63 services
Every Original Medicare service billed
Piflufolastat f-18, diagnostic, 1 millicurie19$91,270$510
Nuclear medicine study from skull base to mid-thigh with ct scan66$74,160$1,107
Ct scan of abdomen and pelvis with contrast111$24,331$206
Mri scan of abdomen before and after contrast68$16,072$220
Mri scan of pelvis before and after contrast59$12,057$198
Nuclear medicine study whole body with ct scan11$10,567$961
Ct scan of chest with contrast121$9,640$74
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries34$9,429$269
Ct scan of chest without contrast127$9,254$70
Nuclear medicine study from skull base to mid-thigh with ct scan87$8,120$91
Ct scan of abdomen and pelvis with contrast90$5,601$62
Ultrasound scan of head and neck soft tissue66$4,569$66
Mri scan of abdomen before and after contrast47$4,036$86
Mri scan of pelvis before and after contrast46$3,709$81
Ct scan of abdomen and pelvis without contrast32$3,135$95
Ct scan of chest without contrast68$2,595$38
Ct scan of chest with contrast61$2,534$41
Ct scan of blood vessels of chest with contrast34$2,305$68
Ct scan of abdomen and pelvis without contrast38$2,221$58
Mri scan of lower spinal canal without contrast22$2,075$94
Ultrasound of both sides of head and neck blood flow18$2,058$114
Ct scan of blood vessels of chest with contrast13$1,913$137
Complete ultrasound scan behind abdominal cavity33$1,905$58
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml162$1,875$0
Ct scan head or brain without contrast69$1,732$25
Low dose ct scan of chest for lung cancer screening27$1,607$60
Injection, gadoterate meglumine, 0.1 ml89$1,438$0
X-ray of chest, 1 view213$1,276$6
Ct scan of blood vessels of abdomen and pelvis with contrast15$1,168$78
Mri scan of arm joint without contrast12$1,142$95
Ct scan of upper spine without contrast32$927$29
Ultrasound scan of head and neck soft tissue44$891$20
Low dose ct scan of chest for lung cancer screening18$868$48
Nuclear medicine study of bone and/or joint whole body23$724$31
Limited ultrasound scan of abdomen16$714$45
X-ray of chest, 2 views49$678$14
Ct scan head or brain without contrast12$577$48
Dxa bone density measurement of hip, pelvis, spine58$560$10
Complete ultrasound scan behind abdominal cavity19$513$27
X-ray of knee, 3 views24$427$16
Ct scan of lower spine without contrast11$413$38
Limited ultrasound scan of abdomen18$358$20
X-ray of lower and sacral spine, 2-3 views30$357$12
X-ray of hand, minimum of 3 views16$353$15
X-ray of hip, 2-3 views28$347$12
X-ray of chest, 2 views51$321$6
Ultrasound study of arm or leg veins with compression and maneuvers13$293$23
Ultrasound study of one arm or leg veins with compression and maneuvers19$275$14
X-ray of abdomen, 1 view36$246$7
X-ray of shoulder, minimum of 2 views22$192$7
X-ray of hip, 2-3 views29$177$6
X-ray of lower and sacral spine, minimum of 4 views11$167$15
X-ray of knee, 4 or more views14$149$7
X-ray of foot, minimum of 3 views18$146$7
X-ray of shoulder, minimum of 2 views17$119$6
X-ray of knee, 3 views16$101$6
X-ray of lower and sacral spine, minimum of 4 views12$97$8
X-ray of lower and sacral spine, 2-3 views19$97$5
X-ray of ankle, minimum of 3 views12$93$8
X-ray of knee, 4 or more views14$84$5
X-ray of ankle, minimum of 3 views15$73$5
X-ray of foot, minimum of 3 views15$53$3
X-ray of pelvis, 1-2 views12$41$3

Who their Medicare patients are

2,481 Original Medicare patients in 2024. Average age 76 · Under 65 5% · 85 and older 15% · Women 55% · Also on Medicaid 16% · Health risk score 1.67. At or below the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.

Conditions among them: High blood pressure 74% · Coronary heart disease 32% · Cancer 29% · Diabetes 27% · Chronic kidney disease 27% · Depression 27% · Atrial fibrillation 24% · Heart failure 23% · COPD 21% · Dementia 12% · Stroke 10%.

The office billed $1,503,547, Medicare allowed $459,886 and paid $358,164; for 36,891 services of 170 kinds; $3,528 of it was for drugs given in the office and $354,636 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20242,48136,891761.67$1,503,547$358,164
20234,26049,813751.67$1,849,997$415,188
20223,45712,861751.53$963,414$182,428
20211,9834,045741.42$350,819$62,757
20201,0421,741741.74$171,472$33,631
20191,3764,077741.57$398,321$76,346
20181,1854,348731.62$408,935$88,238
20171,1306,620731.57$452,414$95,233
20161,9724,205731.61$828,312$178,438
20152,3155,107731.60$864,122$164,331
20142,9395,726731.53$1,164,113$243,606
20133,0037,265731.58$1,117,203$229,855

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 85 services

Original Medicare services billed in 2023
Piflufolastat f-18, diagnostic, 1 millicurie17$82,208$489
Nuclear medicine study from skull base to mid-thigh with ct scan56$71,464$1,232
Ct scan of abdomen and pelvis with contrast106$23,596$207
Mri scan of abdomen before and after contrast104$23,489$212
Mri scan of pelvis before and after contrast89$20,150$219
Ct scan of abdomen and pelvis with contrast184$12,658$68
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries41$12,092$281
Ct scan of chest without contrast143$9,830$67
Ct scan of chest with contrast128$9,728$71
Ct scan of abdomen and pelvis before and after contrast33$7,077$214
Ct scan of abdomen and pelvis without contrast96$6,516$68
Ultrasound scan of head and neck soft tissue85$5,912$70
Ct scan head or brain without contrast155$4,950$32
X-ray of chest, 1 view632$4,768$7
Ct scan of abdomen before and after contrast27$4,353$155
Ct scan of blood vessels of chest with contrast61$4,212$69
Nuclear medicine study from skull base to mid-thigh with ct scan41$3,766$92
Ct scan of abdomen and pelvis without contrast33$3,490$94
Ct scan of chest with contrast77$3,316$43
Mri scan of pelvis before and after contrast38$3,251$86
Ct scan of upper spine without contrast80$3,086$39
Ultrasound of both sides of head and neck blood flow22$3,076$134
Complete ultrasound scan behind abdominal cavity43$3,006$70
Mri scan of abdomen before and after contrast33$2,746$83
Ct scan of chest without contrast65$2,668$41
Ct scan of blood vessels of abdomen and pelvis with contrast31$2,631$85
Injection, gadoterate meglumine, 0.1 ml140$2,564$0
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml173$2,354$0
Mri scan of lower spinal canal without contrast18$2,089$116
Low dose ct scan of chest for lung cancer screening35$1,905$54
Ct scan of blood vessels of chest with contrast16$1,771$111
Mri scan of leg joint without contrast12$1,570$121
Mri scan of abdomen without contrast13$1,542$119
Ct scan of blood vessels of abdomen and pelvis with contrast11$1,463$133
X-ray of chest, 2 views166$1,415$8
Dxa bone density measurement of hip, pelvis, spine136$1,291$9
X-ray of chest, 2 views89$1,118$12
Complete ultrasound scan behind abdominal cavity38$1,082$28
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina13$1,063$82
Ultrasound study of one arm or leg veins with compression and maneuvers12$1,056$88
Dxa bone density measurement of hip, pelvis, spine90$927$10
Limited ultrasound scan of abdomen41$926$23
Ct scan of lower spine without contrast23$838$36
Ultrasound study of arm or leg veins with compression and maneuvers29$803$28
Mri scan of leg joint without contrast13$754$54
Low dose ct scan of chest for lung cancer screening14$727$52
Limited ultrasound scan of abdomen14$716$51
Ct scan of face without contrast21$693$33
Ultrasound study of one arm or leg veins with compression and maneuvers40$673$17
Ultrasound of both sides of head and neck blood flow21$659$31
X-ray of hip, 2-3 views74$647$9
Ct scan of leg without contrast17$633$37
X-ray of knee, 3 views45$590$10
X-ray of abdomen, 1 view78$550$7
Ct scan of middle spine without contrast14$543$39
X-ray of hip, 2-3 views51$506$10
X-ray of lower and sacral spine, 2-3 views62$501$8
X-ray of lower and sacral spine, 2-3 views41$440$11
X-ray of foot, minimum of 3 views52$419$7
X-ray of shoulder, minimum of 2 views55$414$7
X-ray of knee, 4 or more views37$376$9
X-ray of shoulder, minimum of 2 views47$337$7
X-ray of knee, 1-2 views41$305$6
Ct scan of heart with evaluation of blood vessel calcium15$292$19
Complete ultrasound scan of abdomen12$266$22
X-ray of foot, minimum of 3 views28$235$7
X-ray of lower and sacral spine, minimum of 4 views22$217$10
X-ray of knee, 3 views30$217$7
X-ray of hand, minimum of 3 views20$210$8
X-ray of wrist, minimum of 3 views21$194$8
X-ray of pelvis, 1-2 views28$189$7
X-ray of wrist, minimum of 3 views23$175$7
X-ray of upper spine, 4-5 views13$167$13
X-ray of hand, minimum of 3 views23$160$7
X-ray of abdomen, 1 view14$160$11
X-ray of knee, 4 or more views16$152$9
X-ray of ankle, minimum of 3 views22$147$6
X-ray of ankle, minimum of 3 views20$135$6
X-ray of lower and sacral spine, minimum of 4 views15$131$9
X-ray of elbow, minimum of 3 views19$127$7
X-ray of upper spine, 2-3 views12$123$10
X-ray of knee, 1-2 views14$108$6
X-ray of hip, 1 view15$108$7
X-ray of pelvis, 1-2 views11$78$7
X-ray of spine, 1 view11$70$6

2022: 75 services

Original Medicare services billed in 2022
Nuclear medicine study from skull base to mid-thigh with ct scan21$25,840$1,175
Ct scan of abdomen and pelvis with contrast178$12,919$71
Mri scan of pelvis before and after contrast40$10,178$254
Mri scan of abdomen before and after contrast35$8,527$244
Ct scan of abdomen and pelvis with contrast40$8,469$212
Ct scan of abdomen and pelvis without contrast102$6,854$67
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries22$6,187$281
Ct scan head or brain without contrast175$5,866$33
X-ray of chest, 1 view694$5,341$7
Nuclear medicine studies of heart muscle at rest and with stress and spect65$3,832$59
Ct scan of upper spine without contrast80$3,085$39
Ct scan of blood vessels of chest with contrast43$3,073$71
Ct scan of chest with contrast36$2,653$74
Ct scan of chest without contrast36$2,621$73
Ct scan of chest without contrast61$2,545$42
Mri scan of abdomen before and after contrast28$2,398$86
Ct scan of blood vessels of abdomen and pelvis with contrast27$2,398$89
Ct scan of chest with contrast53$2,386$45
Mri scan of lower spinal canal without contrast18$1,986$110
Mri scan of pelvis before and after contrast20$1,752$88
Mri scan of leg joint without contrast13$1,593$114
Mri scan of lower spinal canal without contrast26$1,567$60
Ct scan of lower spine without contrast42$1,561$37
X-ray of chest, 2 views158$1,414$9
Mri scan of upper spinal canal without contrast22$1,271$58
Ct scan of abdomen and pelvis without contrast12$1,245$104
Ultrasound scan of head and neck soft tissue15$1,150$77
Ct scan of leg without contrast28$1,131$39
Mri scan of arm joint without contrast18$971$54
Ultrasound study of one arm or leg veins with compression and maneuvers52$937$18
Mri scan of leg joint without contrast17$877$52
Limited ultrasound scan of abdomen39$844$22
X-ray of hip, 2-3 views97$843$9
Complete ultrasound scan behind abdominal cavity14$841$60
Ct scan of pelvis without contrast18$799$44
Ct scan of middle spine without contrast20$798$40
Complete ultrasound scan behind abdominal cavity28$798$28
Ultrasound study of arm or leg veins with compression and maneuvers26$719$28
Dxa bone density measurement of hip, pelvis, spine68$696$10
X-ray of chest, 2 views63$693$11
Ct scan of face without contrast21$641$31
X-ray of knee, 4 or more views65$611$9
X-ray of abdomen, 1 view78$599$7
X-ray of shoulder, minimum of 2 views66$513$7
X-ray of lower and sacral spine, 2-3 views56$490$9
Injection, gadoterate meglumine, 0.1 ml26$470$0
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml41$412$0
X-ray of hip, 2-3 views34$406$12
Ultrasound of both sides of head and neck blood flow12$399$33
Complete ultrasound scan of abdomen12$351$29
X-ray of hand, minimum of 3 views42$328$6
X-ray of shoulder, minimum of 2 views30$321$10
X-ray of foot, minimum of 3 views41$286$6
X-ray of lower and sacral spine, minimum of 4 views27$278$10
X-ray of knee, 3 views33$258$8
X-ray of knee, 3 views22$258$10
X-ray of pelvis, 1-2 views35$248$7
X-ray of knee, 1-2 views34$245$7
Dxa bone density measurement of hip, pelvis, spine24$233$10
X-ray of knee, 4 or more views24$215$8
X-ray of ankle, minimum of 3 views32$209$6
X-ray of wrist, minimum of 3 views28$193$7
X-ray of foot, minimum of 3 views26$183$6
X-ray of lower and sacral spine, 2-3 views18$181$10
X-ray of wrist, minimum of 3 views19$155$8
X-ray of thigh bone, minimum 2 views19$152$8
X-ray of abdomen, 2 views14$143$10
X-ray of upper spine, 2-3 views12$137$11
X-ray of elbow, minimum of 3 views19$128$7
X-ray of ribs on side of body, minimum of 3 views12$121$10
X-ray of lower leg, 2 views18$113$6
X-ray of upper spine, 2-3 views12$99$8
X-ray of hip, 1 view12$94$8
X-ray of upper arm, minimum of 2 views12$73$6
X-ray of spine, 1 view11$70$6

2021: 54 services

Original Medicare services billed in 2021
Ct scan of abdomen and pelvis with contrast51$3,696$72
Nuclear medicine studies of heart muscle at rest and with stress and spect55$3,349$61
Mri scan of pelvis before and after contrast34$2,828$83
Mri scan of lower spinal canal without contrast46$2,715$59
Mri scan of abdomen before and after contrast26$2,319$89
Ct scan of abdomen and pelvis without contrast32$2,308$72
Ct scan of blood vessels of chest with contrast21$1,582$75
Ct scan head or brain without contrast44$1,489$34
X-ray of chest, 1 view184$1,416$8
X-ray of chest, 2 views76$875$11
Ct scan of chest without contrast13$859$66
Ct scan of chest without contrast20$828$41
Mri scan of leg joint without contrast14$781$52
Mri scan of upper spinal canal without contrast13$770$59
Dxa bone density measurement of hip, pelvis, spine73$770$11
Ct scan of upper spine without contrast19$748$39
X-ray of chest, 2 views81$689$9
Mri scan of arm joint without contrast14$576$41
Ct scan of chest with contrast13$563$43
Ct scan of leg without contrast14$536$38
Ct scan of pelvis without contrast12$536$45
X-ray of shoulder, minimum of 2 views53$510$9
X-ray of knee, 3 views37$508$13
X-ray of hip, 2-3 views53$491$9
X-ray of knee, 4 or more views39$472$10
X-ray of hip, 2-3 views45$462$10
Ct scan of arm without contrast11$452$41
X-ray of lower and sacral spine, 2-3 views48$432$9
X-ray of foot, minimum of 3 views41$356$8
X-ray of lower and sacral spine, 2-3 views31$354$11
X-ray of shoulder, minimum of 2 views42$349$8
X-ray of abdomen, 1 view26$292$11
X-ray of knee, 3 views32$283$8
X-ray of lower and sacral spine, minimum of 4 views15$256$17
Dxa bone density measurement of hip, pelvis, spine26$254$10
X-ray of lower and sacral spine, minimum of 4 views24$239$10
Limited ultrasound scan of abdomen11$234$21
X-ray of knee, 4 or more views22$233$9
X-ray of hand, minimum of 3 views23$231$8
X-ray of knee, 1-2 views27$222$7
X-ray of knee, 1-2 views14$219$13
X-ray of abdomen, 1 view25$208$8
X-ray of upper spine, 2-3 views13$189$15
X-ray of hand, minimum of 3 views21$180$7
X-ray of both hips, 3-4 views14$173$12
X-ray of ankle, minimum of 3 views18$145$8
X-ray of wrist, minimum of 3 views19$143$8
X-ray of foot, minimum of 3 views20$142$7
X-ray of upper spine, 2-3 views15$134$9
X-ray of wrist, minimum of 3 views16$118$7
X-ray of pelvis, 1-2 views16$118$7
X-ray of ankle, minimum of 3 views18$110$6
X-ray of lower leg, 2 views13$86$6
X-ray of lower leg, 2 views11$75$6

2020: 29 services

Original Medicare services billed in 2020
Nuclear medicine studies of heart muscle at rest and with stress and spect50$3,244$65
Ct scan of abdomen and pelvis with contrast36$2,746$76
Ct scan head or brain without contrast49$1,717$35
X-ray of chest, 1 view199$1,458$7
Mri scan of lower spinal canal without contrast17$1,047$62
Ct scan of abdomen and pelvis without contrast13$978$75
Mri scan of leg joint without contrast17$915$54
X-ray of chest, 2 views85$747$9
Ct scan of blood vessels of chest with contrast11$681$62
Ct scan of leg without contrast17$665$39
Ct scan of chest with contrast11$579$53
Ct scan of upper spine without contrast13$546$42
Ct scan of pelvis without contrast11$500$45
Dxa bone density measurement of hip, pelvis, spine33$395$12
X-ray of chest, 2 views26$315$12
X-ray of lower and sacral spine, 2-3 views24$223$9
Ultrasound study of one arm or leg veins with compression and maneuvers11$191$17
X-ray of hip, 2-3 views19$162$9
X-ray of knee, 4 or more views15$154$9
X-ray of hip, 2-3 views15$138$9
X-ray of abdomen, 1 view16$126$8
X-ray of shoulder, minimum of 2 views13$121$8
X-ray of foot, minimum of 3 views15$114$7
X-ray of foot, minimum of 3 views16$111$7
X-ray of knee, 4 or more views11$100$8
X-ray of knee, 1-2 views16$95$6
X-ray of pelvis, 1-2 views11$82$7
X-ray of ankle, minimum of 3 views11$74$7
X-ray of shoulder, minimum of 2 views11$67$6

2019: 42 services

Original Medicare services billed in 2019
Nuclear medicine study from skull base to mid-thigh with ct scan20$6,963$348
Mri scan of pelvis before and after contrast16$3,474$217
Mri scan of lower spinal canal without contrast50$3,018$60
Mri scan of leg joint without contrast59$2,992$49
Mri scan of arm joint without contrast20$2,632$125
Ct scan of leg without contrast63$2,418$37
Ct scan of abdomen and pelvis with contrast30$2,279$76
Mri scan of arm joint without contrast33$1,825$52
Mri scan of lower spinal canal before and after contrast18$1,695$94
Mri scan of pelvis before and after contrast18$1,654$92
Mri scan of upper spinal canal without contrast27$1,613$60
Mri scan of lower spinal canal without contrast18$1,537$85
Ct scan of pelvis without contrast32$1,412$44
Nuclear medicine study from skull base to mid-thigh with ct scan15$1,407$94
Ct scan of lower spine without contrast34$1,407$41
Mri scan of leg joint without contrast17$1,275$75
Nuclear medicine studies of heart muscle at rest and with stress and spect20$1,272$64
Mri scan of leg before and after contrast13$1,243$89
Ct scan of upper spine without contrast24$1,066$44
Ct scan of chest with contrast15$737$49
Ct scan of leg with contrast material15$730$46
X-ray of chest, 1 view98$711$7
Ct scan of chest without contrast14$669$48
Ct scan of arm without contrast18$668$37
Ct scan of chest with contrast11$607$55
Dxa bone density measurement of hip, pelvis, spine39$494$13
X-ray of chest, 2 views43$384$9
X-ray of hip, 2-3 views17$345$20
X-ray of upper spine, 4-5 views24$312$13
X-ray of hip, 2-3 views33$293$9
X-ray of entire middle and lower spine, 2-3 views19$277$14
X-ray of lower and sacral spine, minimum of 4 views21$271$13
X-ray of chest, 2 views19$204$10
X-ray of lower and sacral spine, 2-3 views22$191$9
X-ray of knee, 3 views12$183$13
X-ray of lower and sacral spine, 2-3 views12$170$14
X-ray of shoulder, minimum of 2 views14$161$11
X-ray of knee, 4 or more views14$114$8
X-ray of middle spine, 2 views11$97$9
X-ray of shoulder, minimum of 2 views13$89$7
X-ray of pelvis, 1-2 views12$82$7
X-ray of foot, minimum of 3 views15$71$4

2018: 39 services

Original Medicare services billed in 2018
Nuclear medicine study from skull base to mid-thigh with ct scan34$20,661$480
Nuclear medicine study from skull base to mid-thigh with ct scan40$3,819$95
Mri scan of pelvis before and after contrast15$3,554$222
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries14$2,744$196
Mri scan of leg joint without contrast46$2,514$53
Mri scan of pelvis before and after contrast27$2,404$89
Nuclear medicine studies of heart muscle at rest and with stress and spect35$2,103$60
Ct scan of abdomen and pelvis with contrast26$1,838$71
Mri scan of lower spinal canal without contrast17$1,820$107
Mri scan of lower spinal canal without contrast31$1,722$56
Mri scan of arm joint without contrast16$1,631$96
Ct scan of chest with contrast27$1,298$48
Mri scan of lower spinal canal before and after contrast13$1,260$97
Mri scan of leg joint without contrast17$1,135$60
Ct scan of chest with contrast14$1,110$69
Mri scan of upper spinal canal without contrast18$1,082$60
Mri scan of arm joint without contrast22$1,057$48
Ct scan of leg without contrast30$1,046$35
Ct scan of chest without contrast17$863$48
Nuclear medicine study of bone and/or joint whole body19$602$32
Ct scan of lower spine without contrast14$583$42
Nuclear medicine study of lung ventilation and circulation12$534$45
X-ray of chest, 1 view61$508$7
Ct scan of pelvis without contrast11$493$45
Ct scan head or brain without contrast14$440$31
X-ray of chest, 2 views51$429$8
Ct scan of arm without contrast11$410$37
Injection, gadoterate meglumine, 0.1 ml12$334$0
X-ray of lower and sacral spine, minimum of 4 views23$284$12
X-ray of lower and sacral spine, 2-3 views16$278$17
X-ray of lower and sacral spine, 2-3 views25$225$9
X-ray of hip, 2-3 views13$222$17
X-ray of chest, 2 views16$212$13
X-ray of hip, 2-3 views17$150$9
X-ray of hand, minimum of 3 views15$132$7
X-ray of upper spine, 4-5 views12$132$11
X-ray of shoulder, minimum of 2 views14$118$8
X-ray of knee, 3 views14$112$6
X-ray of pelvis, 1-2 views15$109$7

2017: 32 services

Original Medicare services billed in 2017
Nuclear medicine study from skull base to mid-thigh with ct scan33$11,607$352
Mri scan of pelvis before and after contrast27$9,214$341
Nuclear medicine study from skull base to mid-thigh with ct scan44$4,587$100
Mri scan of pelvis before and after contrast28$2,543$91
Mri scan of leg joint without contrast24$2,470$103
Mri scan of leg joint without contrast43$2,436$55
Mri scan of lower spinal canal without contrast37$2,009$54
Mri scan of lower spinal canal without contrast19$1,936$102
Nuclear medicine studies of heart muscle at rest and with stress and spect28$1,751$63
Ct scan of abdomen and pelvis with contrast25$1,665$67
Mri scan of lower spinal canal before and after contrast17$1,599$94
Mri scan of upper spinal canal without contrast24$1,336$56
Nuclear medicine study of bone and/or joint whole body35$1,196$34
Ct scan of leg without contrast28$1,148$41
Ct scan of chest with contrast23$1,104$48
Mri scan of leg before and after contrast11$964$88
Mri scan of arm joint without contrast11$936$85
Nuclear medicine study of lung ventilation and circulation22$920$42
Mri scan of pelvis without contrast13$809$58
Ct scan of pelvis without contrast17$716$42
Mri scan of middle spinal canal without contrast12$714$60
Injection, gadoterate meglumine, 0.1 ml24$651$0
Ct scan of chest without contrast15$630$42
Nuclear medicine study of bone taken at different times13$544$42
Nuclear medicine study of bone and/or joint whole body14$493$35
Nuclear medicine study of bone and/or joint11$464$42
X-ray of chest, 1 view, front42$316$7
X-ray of chest, 2 views, front and side32$280$9
X-ray of chest, 2 views, front and side19$266$14
X-ray of lower and sacral spine, 2-3 views12$120$9
X-ray of hip, 2-3 views11$101$9
Blood creatinine level11$76$7

2016: 55 services

Original Medicare services billed in 2016
Nuclear medicine study from skull base to mid-thigh with ct scan107$49,629$424
Mri scan of pelvis before and after contrast16$6,505$361
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries33$6,468$196
Mri scan of lower spinal canal without contrast101$5,707$57
Mri scan of lower spinal canal without contrast49$5,496$104
Mri scan of leg joint without contrast53$5,055$87
Nuclear medicine study from skull base to mid-thigh with ct scan46$4,571$97
Mri scan of leg joint without contrast85$4,491$52
Nuclear medicine studies of heart muscle at rest and with stress and spect62$3,935$63
Mri scan of arm joint without contrast36$3,260$86
Mri scan of arm joint without contrast47$2,561$53
Ct scan of abdomen and pelvis with contrast33$2,537$75
Mri scan of upper spinal canal without contrast45$2,506$56
Ct scan of leg without contrast59$2,326$39
Mri scan of lower spinal canal before and after contrast28$2,323$83
Mri scan of pelvis before and after contrast25$2,234$89
Mri scan of upper spinal canal before and after contrast25$2,147$86
Mri scan of abdomen before and after contrast11$2,046$186
Mri scan of middle spinal canal before and after contrast24$1,948$81
Nuclear medicine study of bone and/or joint whole body57$1,933$34
Ct scan of chest without contrast23$1,898$76
Mri scan of leg before and after contrast20$1,840$84
Mri scan of lower spinal canal before and after contrast11$1,705$155
Mri scan of abdomen before and after contrast19$1,640$86
Nuclear medicine study of lung ventilation and circulation34$1,467$43
Mri scan of upper spinal canal without contrast14$1,209$86
Ct scan of chest with contrast29$1,185$41
Ct scan of lower spine without contrast32$1,135$35
Ct scan of upper spine without contrast27$1,128$42
Nuclear medicine study of bone taken at different times24$995$41
Ct scan of abdomen and pelvis without contrast14$931$67
Ct scan of chest without contrast24$920$38
Ct scan of blood vessels of chest with contrast13$884$68
Nuclear medicine study of bone and/or joint22$883$40
Mri scan of middle spinal canal without contrast16$824$52
Ct scan of pelvis without contrast18$809$45
Ct scan of leg without contrast12$795$66
Ct scan head or brain without contrast26$756$29
Ct scan of lower spine without contrast11$719$65
Mri scan of leg without contrast13$697$54
Ct scan of arm without contrast17$654$38
Injection, gadobenate dimeglumine (multihance), per ml24$595$2
Nuclear medicine study of liver and bile duct system with use of drugs16$563$35
Nuclear medicine study of bone and/or joint11$456$41
X-ray of chest, 2 views, front and side36$443$12
Single contrast x-ray of large intestine13$370$28
X-ray of chest, 1 view, front46$342$7
Imaging for evaluation of swallowing function15$332$22
X-ray of chest, 2 views, front and side40$330$8
X-ray of lower and sacral spine, minimum of 4 views17$258$15
X-ray of lower and sacral spine, 2-3 views17$201$12
X-ray of lower and sacral spine, 2-3 views17$158$9
X-ray of shoulder, minimum of 2 views12$155$12
X-ray of hip, 2-3 views14$140$10
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml11$129$0

2015: 61 services

Original Medicare services billed in 2015
Nuclear medicine study from skull base to mid-thigh with ct scan52$18,672$359
Mri scan of pelvis before and after contrast26$9,186$317
Mri scan of lower spinal canal without contrast147$8,443$57
Nuclear medicine study from skull base to mid-thigh with ct scan69$6,337$92
Mri scan of lower spinal canal without contrast58$5,962$95
Mri scan of leg joint without contrast111$5,502$49
Mri scan of leg joint without contrast45$4,104$87
Ct scan of abdomen and pelvis with contrast54$3,617$67
Mri scan of arm joint without contrast64$3,528$50
Mri scan of upper spinal canal without contrast28$3,011$104
Mri scan of arm joint without contrast32$2,817$83
Mri scan of lower spinal canal before and after contrast14$2,794$200
Mri scan of lower spinal canal before and after contrast28$2,417$86
Mri scan of upper spinal canal without contrast46$2,318$50
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries11$2,157$196
Nuclear medicine studies of heart muscle at rest and with stress and spect32$2,098$66
Ct scan of abdomen and pelvis with contrast13$2,092$161
Ct scan of abdomen and pelvis without contrast34$2,048$60
Nuclear medicine study of bone and/or joint whole body57$1,940$34
Ct scan of leg without contrast50$1,888$36
Ct scan of lower spine without contrast50$1,821$36
Mri scan of pelvis before and after contrast19$1,742$92
Ct scan of chest without contrast18$1,688$89
Ct scan of chest without contrast49$1,683$34
Ct scan of chest with contrast44$1,676$38
Mri scan of abdomen before and after contrast18$1,661$92
Mri scan of middle spinal canal before and after contrast16$1,442$90
Ct scan head or brain without contrast50$1,300$26
Mri scan of upper spinal canal before and after contrast15$1,263$84
Mri scan of pelvis without contrast22$1,196$54
Mri scan of leg before and after contrast12$1,183$85
Nuclear medicine study of lung ventilation and circulation27$1,168$43
Ct scan of upper spine without contrast33$1,162$35
Ct scan of blood vessels of chest with contrast18$1,078$60
Injection, gadobenate dimeglumine (multihance), per ml37$968$2
X-ray of chest, 1 view, front144$931$6
Ct scan of lower spine without contrast11$924$84
Mri scan of middle spinal canal without contrast17$865$51
Mri scan of leg without contrast18$861$45
Ct scan of arm without contrast20$783$37
Limited ultrasound scan of abdomen31$673$22
Ct scan of middle spine without contrast18$652$36
X-ray of chest, 2 views, front and side86$609$7
Ct scan of pelvis without contrast14$529$38
Nuclear medicine study of bone taken at different times14$515$37
Nuclear medicine study of liver and bile duct system with use of drugs14$514$37
X-ray of chest, 2 views, front and side26$456$16
Complete ultrasound scan behind abdominal cavity16$448$28
Complete ultrasound scan of abdomen14$402$29
Ultrasound scan of head and neck soft tissue14$279$20
X-ray of lower and sacral spine, minimum of 4 views11$263$24
X-ray of lower and sacral spine, 2-3 views28$244$9
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml17$210$0
X-ray of shoulder, minimum of 2 views12$176$14
X-ray of ribs of one side of body, minimum of 2 views24$163$7
X-ray of lower and sacral spine, 2-3 views13$144$10
X-ray of shoulder, minimum of 2 views20$134$6
X-ray of knee, 3 views16$117$7
X-ray of abdomen, single view14$91$7
Blood creatinine level11$75$7
X-ray of foot, minimum of 3 views11$69$6

2014: 72 services

Original Medicare services billed in 2014
Nuclear medicine study from skull base to mid-thigh with ct scan71$50,250$653
Nuclear medicine study from skull base to mid-thigh with ct scan125$12,059$93
Mri scan of lower spinal canal without contrast81$10,454$116
Mri scan of lower spinal canal without contrast148$8,275$56
Mri scan of pelvis before and after contrast20$7,123$356
Mri scan of leg joint without contrast131$6,720$50
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries35$6,444$170
Ct scan of abdomen and pelvis with contrast85$5,865$69
Mri scan of abdomen before and after contrast17$5,543$308
Mri scan of lower spinal canal before and after contrast24$4,580$176
Nuclear medicine studies of heart muscle at rest and with stress and spect69$4,413$64
Ct scan of abdomen and pelvis without contrast60$3,993$67
Mri scan of lower spinal canal before and after contrast44$3,975$90
Ct scan head or brain without contrast118$3,533$30
Mri scan of leg joint without contrast30$3,503$113
Mri scan of arm joint without contrast66$3,309$48
Mri scan of pelvis without contrast11$3,263$251
Ct scan of blood vessels of chest with contrast43$3,256$76
Mri scan of upper spinal canal without contrast27$3,215$104
Mri scan of upper spinal canal without contrast57$3,177$56
Ct scan of abdomen and pelvis with contrast24$2,955$118
Mri scan of arm joint without contrast27$2,832$101
Nuclear medicine study of bone and/or joint whole body79$2,725$34
Ct scan of chest with contrast36$2,545$69
Mri scan of abdomen before and after contrast29$2,487$86
Ct scan of lower spine without contrast66$2,329$35
Ct scan of chest without contrast31$2,291$72
Ct scan of upper spine without contrast52$2,128$41
Mri scan of pelvis before and after contrast22$1,983$90
Ct scan of chest with contrast51$1,975$39
Mri scan of upper spinal canal before and after contrast23$1,968$86
Nuclear medicine study of lung ventilation and circulation45$1,915$43
Ct scan of chest without contrast51$1,893$37
Ct scan of leg without contrast44$1,857$39
Mri scan of pelvis without contrast32$1,835$57
Mri scan of leg before and after contrast20$1,766$88
Mri scan of middle spinal canal before and after contrast20$1,530$76
X-ray of chest, 1 view, front208$1,520$7
Mri scan of leg without contrast25$1,360$52
Mri scan of leg joint before and after contrast13$1,155$89
Mri scan of middle spinal canal without contrast21$1,062$51
Injection, gadobenate dimeglumine (multihance), per ml38$1,041$2
Nuclear medicine study of brain20$971$49
Mri scan of middle spinal canal without contrast11$903$75
X-ray of chest, 2 views, front and side90$743$8
Nuclear medicine study of bone taken at different times18$731$41
Ct scan of arm without contrast18$707$39
Nuclear medicine study of stomach to assess emptying22$698$32
Ct scan of middle spine without contrast17$670$37
Nuclear medicine study of liver and bile duct system20$583$29
Complete ultrasound scan of abdomen19$574$30
Ct scan of face without contrast12$550$46
Ct scan of pelvis without contrast12$541$45
X-ray of chest, 2 views, front and side37$483$13
Nuclear medicine study of bone and/or joint11$457$42
Nuclear medicine study of liver and bile duct system with use of drugs11$370$34
X-ray of lower and sacral spine, 2-3 views34$333$10
X-ray of ribs of one side of body, minimum of 2 views36$306$9
Limited ultrasound scan of abdomen15$302$20
Complete ultrasound scan behind abdominal cavity11$293$27
X-ray of lower and sacral spine, 2-3 views17$211$12
X-ray of lower and sacral spine, minimum of 4 views11$195$18
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml16$193$0
X-ray of pelvis, 1-2 views20$153$7
X-ray of shoulder, minimum of 2 views19$151$8
X-ray of knee, 4 or more views16$145$9
X-ray of shoulder, minimum of 2 views15$116$7
X-ray of wrist, minimum of 3 views14$115$7
X-ray of abdomen, single view16$113$7
X-ray of foot, minimum of 3 views13$91$6
Blood creatinine level13$89$7
X-ray of elbow, minimum of 3 views12$79$7

2013: 71 services

Original Medicare services billed in 2013
Nuclear medicine study from skull base to mid-thigh with ct scan65$26,352$342
Mri scan of lower spinal canal without contrast66$12,926$172
Nuclear medicine study from skull base to mid-thigh with ct scan121$11,758$90
Ct scan head or brain without contrast256$7,419$28
Mri scan of pelvis before and after contrast19$7,000$368
Ct scan of abdomen and pelvis with contrast106$6,739$64
Mri scan of upper spinal canal without contrast34$6,526$167
Mri scan of leg joint without contrast39$6,280$143
Mri scan of leg joint without contrast118$5,855$48
Mri scan of lower spinal canal before and after contrast14$5,121$284
Nuclear medicine studies of heart muscle at rest and with stress and spect85$5,071$60
Mri scan of lower spinal canal without contrast84$4,620$55
Mri scan of abdomen before and after contrast12$4,364$336
Ct scan of abdomen and pelvis without contrast69$4,312$62
Mri scan of arm joint without contrast82$4,262$51
Mri scan of arm joint without contrast36$3,933$106
Mri scan of pelvis without contrast13$3,782$252
Ct scan of abdomen and pelvis with contrast18$3,204$169
Ct scan of blood vessels of chest with contrast42$2,994$71
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries20$2,812$134
Ct scan of upper spine without contrast73$2,682$36
Ct scan of abdomen and pelvis before and after contrast13$2,614$201
Mri scan of lower spinal canal before and after contrast30$2,508$84
X-ray of chest, 1 view, front352$2,484$7
Nuclear medicine study of lung ventilation and circulation52$2,145$41
Nuclear medicine study of bone and/or joint whole body65$2,010$30
Ct scan of chest without contrast56$2,001$36
Mri scan of pelvis before and after contrast24$1,973$82
Ct scan of chest without contrast20$1,895$95
Ct scan head or brain without contrast14$1,807$113
Ct scan of chest with contrast41$1,671$41
Mri scan of upper spinal canal without contrast29$1,649$57
Mri scan of abdomen before and after contrast20$1,631$82
Ct scan of leg without contrast38$1,463$38
Ct scan of chest with contrast16$1,438$90
Ct scan of lower spine without contrast40$1,384$35
Complete ultrasound scan behind abdominal cavity12$1,299$108
Mri scan of leg without contrast25$1,299$48
X-ray of chest, 2 views, front and side130$969$7
Injection, gadobenate dimeglumine (multihance), per ml31$968$2
Mri scan of brain before and after contrast11$924$84
X-ray of chest, 2 views, front and side46$856$19
Mri scan of pelvis without contrast16$851$53
Ct scan of face without contrast19$768$40
Nuclear medicine study of bone taken at different times20$740$37
Mri scan of abdomen without contrast12$693$58
Ct scan of pelvis without contrast17$606$36
Nuclear medicine study of liver and bile duct system with use of drugs18$593$33
Ct scan of arm without contrast14$543$39
Ct scan of lower spine with contrast11$532$48
Limited ultrasound scan of abdomen22$451$21
Ultrasound study of arm or leg veins with compression and maneuvers16$445$28
Ultrasound study of one arm or leg veins with compression and maneuvers25$422$17
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml27$402$0
Nuclear medicine study of bone and/or joint12$392$33
Complete ultrasound scan behind abdominal cavity13$365$28
Ct scan of middle spine without contrast11$359$33
X-ray of lower and sacral spine, 2-3 views37$338$9
X-ray of ribs of one side of body, minimum of 2 views37$332$9
Complete ultrasound scan of abdomen11$295$27
X-ray series of abdomen with single x-ray of chest24$284$12
X-ray of abdomen, single view28$230$7
X-ray of shoulder, minimum of 2 views21$156$7
3d radiographic procedure18$125$7
X-ray of pelvis, 1-2 views17$124$7
X-ray of hand, minimum of 3 views17$123$7
X-ray of knee, 4 or more views14$114$7
X-ray of foot, minimum of 3 views12$93$7
X-ray of wrist, minimum of 3 views13$89$7
X-ray of lower leg, 2 views13$83$6
X-ray of ankle, minimum of 3 views14$82$6

Medicaid work

$2,625 in 2024

Medicaid paid $2,625 for 241 billed services this clinician did in 2024, up to 32 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL35$1,626
Radiologic examination, chest; single view149$686
Radiologic examination, chest; 2 views44$259
X-RAY EXAM OF FOOT13$53
Medicaid work by year
2024241432$2,625
2023899854$11,993
2022995884$11,764
2021190521$805
2020106220$417
201914114$60
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL173$6,984
Radiologic examination, chest; single view509$2,142
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation28$1,542
Radiologic examination, chest; 2 views125$655
Computed tomography, head or brain; without contrast material19$372
ECHO EXAM OF ABDOMEN14$171
X-RAY EXAM OF FOOT17$70
X-ray of abdomen, 1 view14$58

2022

Largest Medicaid services in 2022
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL130$5,394
Radiologic examination, chest; single view548$1,972
CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL47$1,734
Computed tomography, head or brain; without contrast material104$1,672
Radiologic examination, chest; 2 views105$496
CT CERVICAL SPINE W/O CONTRAST MATERIAL12$265
X-RAY EXAM OF ANKLE30$142
X-RAY EXAM OF FOOT19$89

2021

Largest Medicaid services in 2021
Radiologic examination, chest; single view90$330
X-RAY EXAM OF FOOT46$230
Radiologic examination, chest; 2 views28$130
X-RAY EXAM OF SHOULDER14$64
X-RAY EXAM OF ANKLE12$52

2020

Largest Medicaid services in 2020
Radiologic examination, chest; single view73$250
Radiologic examination, chest; 2 views33$168

2019

Largest Medicaid services in 2019
Radiologic examination, chest; single view14$60

Drugs they prescribed that Part D paid

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their 12 Part D prescriptions in 2015. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

Professional record

NPI
1568440089
Licence
AK MEDS6078, ID M-12321, WA MD00040054Washington MD.MD.00040054: Active
Trained
Duke University School of Medicine, 1994 · 32 years ago
Group
County of Santa Clara · Synergy Radiology LLC · Radia Inc P S · Radiology Associates PA · Swedish Radia Imaging Center at Edmonds LLC · Optum Care Washington PLLC · Evergreen Radia LLC · South Sound Radiologists Inc P S · Okanogan County Public Hospital District No. 3 · Swedish Health Services · Radia California Radiology Medical Group Inc · Pet-Ct Imaging at Swedish Cancer Institute LLC · Radia Imaging Center Holdings LLC · Public Hospital District No 4 King County Washington · Okanogan County Public Hospital Dist No 4 · Central Washington Health Services Association · Illinois Diagnostic and Interventional Radiology PLLC · Medford Radiological Group PC · Yakima Valley Memorial Physicians
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
AK 1018396, ID 1568440089, WA 8320285
Taxonomy
Diagnostic radiology (2085R0202X)
Mailing address
19020 33rd Ave W Ste 210, Lynnwood, WA, 98036
NPI first listed
2006-01-04
NPI last updated
2025-01-30
NPI record certified
2025-01-30

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 4660 S Hagadorn Rd Ste 410, East Lansing, MI, 48823 · 4660 S Hagadorn Rd Ste 510, East Lansing, MI, 48823 · 3220 Discovery Dr Ste 100, Lansing, MI, 48910