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Prakash N Patel, MD

Diagnostic Radiology · Manteca

NPI 1639148729

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
9

Offices

9 locations · American Diagnostics Services LLC · Radiology Affiliates of Central New Jersey PC · Golden State Imaging Associates Inc · El Camino Health Medical Network LLC · Reono Bertagnolli A Medical Group · Empire State Radiology P C

Looking this up.

Hospitals listed: Bon Secours Community Hospital · El Camino Health · Good Samaritan Hospital of Suffern · Nyack Hospital · St Anthony Community 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. Patel’s office to ask if they take your plan before you enroll.

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.

  • Bon Secours Community HospitalPort Jervis, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of WMC Health, which runs 8 hospitalsPatients rate it 2 of 5 · 56% would definitely recommend it
    Overall rating: 2 of 5 starsNo measure marked better or worse than the national rate
  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
  • Good Samaritan Hospital of SuffernSuffern, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of WMC Health, which runs 8 hospitalsPatients rate it 2 of 5 · 56% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.174, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
  • Nyack HospitalNyack, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Montefiore Medical Center, which runs 8 hospitalsPatients rate it 2 of 5 · 58% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.076, Oct 2024 – Sep 2025
  • St Anthony Community HospitalWarwick, NYAcute Care Hospital · Voluntary non-profit - Church · No emergency department · Birthing-friendlyPart of WMC Health, which runs 8 hospitalsPatients rate it 4 of 5 · 72% would definitely recommend it
    Overall rating: 4 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Bon Secours Community Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 4 the same, 1 worse of 5 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Bon Secours Community Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.02 (0 to 2.09) · 138 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.93 (0.46 to 1.4)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.8 · 97 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.5 · 168 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.8 · 166 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 580 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,533 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.47) · 1,509 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.38 (0.78 to 5.98) · 91 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (0.91 to 4.36) · 91 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.27) · 41 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.55) · 1,213 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.613No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.3 · 179 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.9 · 186 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits10.1 · 169 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 184 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.8 · 136 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (9.5 to 16.9) · 355 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.6 to 1.4) · 41 casesNo differentJan 2024 – Dec 2024

What patients said (227 patients answered, 19% of those asked)

Patient survey stars by topic at Bon Secours Community Hospital
Cleanliness4
Nurse communication3
Doctor communication1
Communication about medicines3
Discharge information2
Overall hospital rating2
Quietness3
Recommend hospital2
Share of patients giving the best answer at Bon Secours Community Hospital
Room was "always" clean79%
Nurses "always" communicated well81%
Doctors "always" communicated well67%
Staff "always" explained62%
Yes, staff "did" give patients this information79%
Yes, staff "did" give patients information about help after discharge71%
Doctors "always" explained things so they could understand64%
Doctors "always" listened carefully66%
Doctors "always" treated them with courtesy and respect71%
Patients who gave a rating of "9" or "10" (high)64%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital56%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 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 El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
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)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Good Samaritan Hospital of Suffern

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 4 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 Good Samaritan Hospital of Suffern
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.174BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.85 (0 to 1.84) · 1,208 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.58 to 1.18)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths200.88 (152.88 to 248.87) · 35 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 60 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.7 · 175 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 235 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.9 · 556 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16 · 800 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths14.3 · 185 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 3,103 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.37) · 8,002 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.05 to 0.43) · 8,257 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.57 (1.46 to 5.69) · 1,550 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.76 (0.19 to 3.33) · 748 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.67 (1.25 to 4.08) · 1,575 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.29 (4.04 to 16.54) · 726 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.34 (0.7 to 7.97) · 745 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.18 to 3.16) · 240 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.28 (0 to 0.89) · 6,921 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths2.9 · 123 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.742No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.8 · 258 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.9 · 665 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits29.1 · 232 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits19 · 621 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits41.7 · 820 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 836 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.8 (3.1 to 7.4) · 93 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.6 (8.1 to 16.3) · 93 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.8 · 100 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 62 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.4 · 234 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (9.6 to 16.6) · 435 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.1) · 478 casesNo differentJan 2024 – Dec 2024

What patients said (1,797 patients answered, 21% of those asked)

Patient survey stars by topic at Good Samaritan Hospital of Suffern
Cleanliness4
Nurse communication2
Doctor communication2
Communication about medicines1
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital2
Share of patients giving the best answer at Good Samaritan Hospital of Suffern
Room was "always" clean71%
Nurses "always" communicated well71%
Doctors "always" communicated well72%
Staff "always" explained52%
Yes, staff "did" give patients this information81%
Yes, staff "did" give patients information about help after discharge76%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect79%
Patients who gave a rating of "9" or "10" (high)57%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully68%
Nurses "always" treated them with courtesy and respect76%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital56%
Staff "always" explained possible side effects36%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Nyack Hospital

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 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 Nyack Hospital
Clostridium Difficile (C.Diff)Infections0.076BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.88 (0 to 1.87) · 974 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.45 to 1.18)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths187.07 (126.5 to 247.64) · 42 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.4 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 113 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.6 · 333 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.6 · 828 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.8 · 169 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 2,383 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 6,177 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.29 (0.1 to 0.49) · 6,172 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.18 (0.97 to 5.4) · 807 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.33) · 216 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.35 (0.72 to 3.98) · 775 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.38 (0 to 16.41) · 222 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.67 (0.57 to 8.78) · 209 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.64 (0.16 to 3.11) · 194 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.34 (0 to 1.01) · 5,496 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.1 · 65 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.237No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.451No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.2 · 101 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.5 · 398 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits21.8 · 95 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits18.8 · 357 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits54.5 · 833 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.5 · 881 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.6 to 7.8) · 173 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12 (9.1 to 15.8) · 173 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 62 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.5 · 153 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.9 (9.7 to 17.3) · 325 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 471 casesNo differentJan 2024 – Dec 2024

What patients said (1,080 patients answered, 17% of those asked)

Patient survey stars by topic at Nyack Hospital
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital2
Share of patients giving the best answer at Nyack Hospital
Room was "always" clean65%
Nurses "always" communicated well74%
Doctors "always" communicated well72%
Staff "always" explained57%
Yes, staff "did" give patients this information81%
Yes, staff "did" give patients information about help after discharge79%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully70%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)60%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital58%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms82%
See every measure and the patient survey for St Anthony Community Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 3 the same, 0 worse of 3 measures. Readmissions: 1 better, 6 the same, 0 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at St Anthony Community Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.03 (0 to 2.12) · 107 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.45 to 1.39)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.4 · 48 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.6 · 25 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.9 · 98 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.5 · 206 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 557 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,195 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 1,170 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.83 (1.25 to 6.4) · 143 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.38) · 41 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.29 (0.57 to 4.01) · 146 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.18 (0 to 17.69) · 40 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.13 (0.83 to 9.43) · 35 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.47 (0 to 1.62) · 1,050 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 34 casesNoneApr 2023 – Mar 2025
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.3 · 113 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits29.4 · 111 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-13.3 · 201 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.7 · 188 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.2 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.9 · 70 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (9.8 to 17) · 482 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.6 to 1.2) · 174 casesNo differentJan 2024 – Dec 2024

What patients said (335 patients answered, 23% of those asked)

Patient survey stars by topic at St Anthony Community Hospital
Cleanliness4
Nurse communication5
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at St Anthony Community Hospital
Room was "always" clean82%
Nurses "always" communicated well85%
Doctors "always" communicated well78%
Staff "always" explained67%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications78%
Nurses "always" explained things so they could understand81%
Nurses "always" listened carefully83%
Nurses "always" treated them with courtesy and respect91%
"Always" quiet at night59%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects55%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$355,158

Medicare paid this office $355,158 for 7,292 people.

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

Largest Original Medicare bills
Ct scan of abdomen and pelvis with contrast384$30,527$77
Ct scan of abdomen and pelvis without contrast373$28,119$73
Ct scan head or brain without contrast698$26,570$35
Ct scan of blood vessels of chest with contrast270$21,602$75
Ct scan of chest without contrast409$19,326$44
See all 109 services
Every Original Medicare service billed
Ct scan of abdomen and pelvis with contrast384$30,527$77
Ct scan of abdomen and pelvis without contrast373$28,119$73
Ct scan head or brain without contrast698$26,570$35
Ct scan of blood vessels of chest with contrast270$21,602$75
Ct scan of chest without contrast409$19,326$44
X-ray of chest, 1 view1,866$18,096$7
Mri scan of brain without contrast253$15,901$62
Limited ultrasound scan of joint or other extremity structure except blood vessels303$13,452$30
Mri scan of lower spinal canal without contrast164$10,560$64
Mri scan of brain before and after contrast76$7,515$96
X-ray of chest, 2 views739$7,401$9
Ct scan of abdomen and pelvis before and after contrast87$7,383$84
Ct scan of blood vessels of head with contrast95$7,191$75
Ct scan of blood vessels of neck with contrast99$7,174$72
Ct scan of upper spine without contrast163$6,564$40
Complete ultrasound scan behind abdominal cavity190$6,176$31
Low dose ct scan of chest for lung cancer screening103$6,095$59
Ct scan of chest with contrast110$5,234$47
Ct scan of blood vessels of abdomen with contrast66$5,035$73
Ct scan of leg without contrast105$4,437$41
Mri scan of upper spinal canal without contrast64$4,027$63
Ct scan of blood vessels of abdomen and pelvis with contrast42$4,011$93
Ultrasound of both sides of head and neck blood flow106$3,418$32
Complete ultrasound scan of abdomen97$3,213$33
Ct scan of lower spine without contrast67$2,920$43
Limited ultrasound scan of abdomen111$2,637$24
X-ray of abdomen, 1 view284$2,518$8
X-ray of hip, 2-3 views248$2,473$9
Ct scan of face without contrast67$2,292$34
Ultrasound study of arm or leg veins with compression and maneuvers78$2,257$29
X-ray of chest, 2 views198$2,229$11
Mri scan of lower spinal canal before and after contrast22$2,209$100
Ultrasound scan of head and neck soft tissue26$2,185$84
Dxa bone density measurement of hip, pelvis, spine180$1,971$11
Ultrasound scan of head and neck soft tissue77$1,781$23
Ct scan of soft tissue of neck with contrast27$1,691$58
X-ray of foot, minimum of 3 views189$1,635$7
Mri scan of middle spinal canal without contrast24$1,575$63
X-ray of shoulder, minimum of 2 views175$1,570$8
X-ray of chest, 1 view213$1,484$7
Ct scan of pelvis without contrast33$1,378$42
Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging28$1,287$46
X-ray of lower and sacral spine, 2-3 views134$1,268$9
Mri scan of blood vessels of head without contrast25$1,256$50
X-ray of knee, 1-2 views129$1,185$7
X-ray of knee, 3 views127$1,050$8
Ultrasound study of one arm or leg veins with compression and maneuvers55$969$18
Limited ultrasound scan behind abdominal cavity37$956$25
Ct scan of arm without contrast21$950$43
X-ray of foot, minimum of 3 views26$934$27
Ct scan of middle spine without contrast21$896$43
Ultrasound of abdomen and pelvis artery and vein blood flow26$868$33
Nuclear medicine study of lung ventilation and circulation16$733$46
X-ray of hand, minimum of 3 views83$714$8
X-ray of hip, 2-3 views60$705$12
X-ray of ankle, minimum of 3 views86$690$7
Single contrast x-ray of upper digestive tract14$673$34
Ct scan of soft tissue of neck without contrast14$670$48
X-ray of thigh bone, minimum 2 views78$668$8
Complete ultrasound scan of abdomen14$660$47
Complete ultrasound scan behind abdominal cavity15$640$43
Ultrasound study of arm or leg veins with compression and maneuvers18$632$35
X-ray of wrist, minimum of 3 views67$588$8
Ct scan of chest before and after contrast11$583$53
Ultrasound scan of scrotum22$580$26
Ultrasound study of one arm or leg veins with compression and maneuvers20$579$29
X-ray of abdomen, 1 view74$576$8
Nuclear medicine study of liver and bile duct system17$545$32
X-ray of shoulder, minimum of 2 views45$522$11
Mri scan of blood vessels of neck without contrast11$506$46
X-ray of knee, 1-2 views53$466$7
X-ray of abdomen, 2 views42$459$10
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina16$458$29
X-ray of lower leg, 2 views65$456$7
X-ray of upper spine, 2-3 views43$413$9
X-ray of pelvis, 1-2 views55$407$7
Limited ultrasound scan of pelvis21$403$19
X-ray of upper spine, 4-5 views35$372$11
X-ray of ribs on side of body, minimum of 3 views33$371$11
X-ray of knee, 4 or more views32$346$10
X-ray of elbow, minimum of 3 views47$345$7
X-ray of lower and sacral spine, minimum of 4 views30$327$11
X-ray of hand, minimum of 3 views15$308$18
X-ray of upper arm, minimum of 2 views40$277$7
X-ray of lower and sacral spine, 2-3 views25$273$11
X-ray of foot, 2 views36$256$7
X-ray of hip, 1 view28$236$8
X-ray of ribs on side of body, 2 views25$232$9
X-ray of forearm, 2 views35$228$7
X-ray of middle spine, 2 views26$209$8
Dxa bone density measurement of forearm, finger, hand, or foot19$208$11
X-ray of ankle, minimum of 3 views13$190$15
X-ray of both hips, 3-4 views13$171$13
X-ray of foot, 2 views24$164$6
X-ray of pelvis, minimum of 3 views14$146$10
X-ray of hip, 1 view18$139$8
X-ray of hand, 2 views18$138$7
X-ray of ankle, 2 views17$120$7
X-ray of wrist, 2 views15$118$7
X-ray of ankle, 2 views16$118$7
X-ray of wrist, 2 views16$117$7
X-ray of sacrum and tailbone, minimum of 2 views16$117$7
X-ray of finger, minimum of 2 views19$113$6
X-ray of lower leg, 2 views14$111$7
X-ray of middle spine, 3 views11$110$10
X-ray of spine, 1 view15$108$7
X-ray of upper arm, minimum of 2 views14$90$6
X-ray of hand, 2 views12$89$7
X-ray of thigh bone, minimum 2 views11$86$8

Who their Medicare patients are

7,292 Original Medicare patients in 2024. Average age 77 · Under 65 8% · 85 and older 26% · Women 58% · Also on Medicaid 29% · Health risk score 1.99. Above the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.

Conditions among them: High blood pressure 75% · Coronary heart disease 45% · Diabetes 41% · Chronic kidney disease 35% · Heart failure 34% · Depression 34% · COPD 32% · Atrial fibrillation 31% · Dementia 24% · Cancer 19% · Stroke 18%.

The office billed $5,789,073, Medicare allowed $458,853 and paid $355,158; for 12,947 services of 195 kinds.

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
20247,29212,947771.99$5,789,073$355,158
202310,01614,662792.44$3,505,187$296,709
202213,74322,592792.45$1,209,357$331,540
20215,19016,652761.68$1,183,223$348,429
20204,23613,070751.68$1,159,508$312,973
20194,27712,976751.74$1,213,563$354,151
20183,11512,561761.83$1,275,158$298,442
20173,11515,522751.71$1,266,499$298,230
20163,37225,522751.65$1,769,611$440,021
20152,93917,770751.65$1,425,170$339,805
20142,57215,372741.44$1,378,709$343,291
20132,64114,372741.41$1,342,708$372,332

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: 135 services

Original Medicare services billed in 2023
Ct scan of abdomen and pelvis with contrast289$23,308$79
Ct scan of abdomen and pelvis without contrast251$19,534$75
Ct scan head or brain without contrast500$19,274$36
X-ray of chest, 1 view1,818$15,826$8
Ct scan of blood vessels of chest with contrast164$12,777$77
Ct scan of chest without contrast264$12,524$46
Limited ultrasound scan of joint or other extremity structure except blood vessels201$9,395$30
Mri scan of brain without contrast143$9,316$65
X-ray of chest, 2 views756$6,696$9
X-ray of chest, 2 views701$6,508$9
X-ray of chest, 1 view834$6,401$8
Mri scan of lower spinal canal without contrast88$5,731$64
Ct scan of abdomen and pelvis before and after contrast61$5,437$88
Ct scan of upper spine without contrast125$5,435$43
Mri scan of brain before and after contrast42$4,259$101
Complete ultrasound scan behind abdominal cavity129$4,158$32
Ct scan of blood vessels of head with contrast53$4,104$77
Ct scan of blood vessels of neck with contrast54$4,056$75
Low dose ct scan of chest for lung cancer screening67$4,001$60
Ct scan of chest with contrast79$3,889$49
Ultrasound study of arm or leg veins with compression and maneuvers118$3,502$30
Ct scan of blood vessels of abdomen and pelvis with contrast37$3,458$91
X-ray of hip, 2-3 views299$3,022$10
Limited ultrasound scan of abdomen119$3,003$25
Complete ultrasound scan of abdomen81$2,811$34
Ultrasound study of arm or leg veins with compression and maneuvers96$2,785$29
Ultrasound study of one arm or leg veins with compression and maneuvers144$2,626$18
Ct scan of leg without contrast58$2,535$43
Ultrasound study of one arm or leg veins with compression and maneuvers136$2,488$18
X-ray of abdomen, 1 view296$2,459$8
Complete ultrasound scan behind abdominal cavity83$2,396$29
Complete ultrasound scan of abdomen73$2,348$32
X-ray of abdomen, 1 view265$1,996$7
X-ray of hip, 2-3 views214$1,953$9
Ultrasound of both sides of head and neck blood flow13$1,946$150
Ct scan of face without contrast52$1,900$37
Mri scan of upper spinal canal without contrast29$1,830$63
Ultrasound of both sides of head and neck blood flow53$1,799$34
Ct scan of lower spine without contrast41$1,770$43
Mri scan of blood vessels of head without contrast35$1,757$50
X-ray of shoulder, minimum of 2 views175$1,542$8
X-ray of knee, 1-2 views192$1,507$7
Ultrasound scan of head and neck soft tissue59$1,410$24
Mri scan of lower spinal canal before and after contrast14$1,410$101
X-ray of knee, 1-2 views164$1,364$7
X-ray of shoulder, minimum of 2 views158$1,295$8
X-ray of lower and sacral spine, 2-3 views126$1,191$9
Mri scan of middle spinal canal without contrast16$1,035$65
X-ray of lower and sacral spine, 2-3 views112$1,003$9
Ct scan of soft tissue of neck with contrast15$919$61
Ct scan of chest before and after contrast17$910$54
Limited ultrasound scan of abdomen37$872$24
Limited ultrasound scan of 1 breast30$857$29
X-ray of abdomen, 2 views81$842$10
X-ray of foot, minimum of 3 views104$839$7
Mri scan of blood vessels of neck without contrast16$816$48
X-ray of thigh bone, minimum 2 views92$771$8
X-ray of hand, 2 views96$707$7
X-ray of knee, 3 views71$700$8
Limited ultrasound scan of joint or other extremity structure except blood vessels23$698$30
X-ray of foot, 2 views92$621$6
Complete ultrasound scan of pelvis21$594$28
X-ray of hip, 1 view68$569$8
X-ray of both hips, 2 views61$569$9
X-ray of ankle, minimum of 3 views69$566$7
X-ray of lower leg, 2 views74$544$7
Ultrasound scan of head and neck soft tissue24$521$22
X-ray of hip, 1 view72$509$7
Ct scan of middle spine without contrast12$509$42
Ct scan of pelvis without contrast11$479$44
X-ray of lower leg, 2 views73$462$6
Ultrasound of abdomen and pelvis artery and vein blood flow13$455$35
Ultrasound scan of scrotum16$449$28
X-ray of entire middle and lower spine, 4-5 views32$445$14
X-ray of ankle, 2 views60$445$7
X-ray of wrist, 2 views66$444$6
X-ray of wrist, minimum of 3 views55$440$8
Dxa bone density measurement of hip, pelvis, spine40$438$11
X-ray of knee, 4 or more views33$420$10
X-ray of thigh bone, minimum 2 views55$412$7
X-ray of elbow, 2 views57$407$7
Limited ultrasound scan behind abdominal cavity15$405$25
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina14$403$29
X-ray of upper arm, minimum of 2 views54$399$7
Limited ultrasound scan of pelvis18$393$22
X-ray of foot, 2 views57$392$6
X-ray of wrist, 2 views54$391$7
Complete ultrasound scan of pelvis13$390$30
X-ray of upper spine, 2-3 views40$389$10
X-ray of upper spine, 2-3 views43$386$9
X-ray of foot, minimum of 3 views51$382$7
X-ray of hand, minimum of 3 views47$378$7
Limited ultrasound scan of pelvis19$367$19
X-ray of knee, 3 views30$347$10
X-ray of both hips, 2 views38$343$9
X-ray of ribs on side of body, 2 views33$324$10
X-ray of ankle, 2 views44$316$7
X-ray of ribs on side of body, 2 views41$313$8
X-ray of forearm, 2 views43$313$7
X-ray of upper arm, minimum of 2 views43$309$7
X-ray of elbow, minimum of 3 views38$307$8
X-ray of abdomen, 2 views32$301$9
X-ray of pelvis, 1-2 views38$298$8
X-ray of hip, minimum of 4 views24$284$12
X-ray of upper spine, 4-5 views24$272$11
X-ray of hand, 2 views37$263$7
X-ray of forearm, 2 views37$250$7
X-ray series of abdomen with single x-ray of chest17$244$14
X-ray of shoulder, 1 view40$240$6
X-ray of ankle, minimum of 3 views28$238$8
X-ray of sacrum and tailbone, minimum of 2 views30$219$7
X-ray of shoulder, 1 view29$219$7
X-ray of lower and sacral spine, minimum of 4 views18$210$12
X-ray of middle spine, 2 views24$209$9
X-ray of elbow, 2 views28$203$7
X-ray of pelvis, 1-2 views24$188$8
X-ray of sacrum and tailbone, minimum of 2 views22$173$8
X-ray of both hips, 3-4 views13$172$13
X-ray of thigh bone, 1 view22$165$7
X-ray of hand, minimum of 3 views20$163$8
X-ray of ribs on side of body, minimum of 3 views13$156$12
X-ray of thigh bone, 1 view20$151$8
X-ray of wrist, minimum of 3 views20$148$7
X-ray of heel, minimum of 2 views18$143$7
X-ray of skull, 1-3 views15$121$8
X-ray of ribs on side of body, minimum of 3 views12$119$10
X-ray of middle spine, 2 views15$118$8
X-ray of collar bone15$113$8
X-ray of spine, 1 view15$107$7
X-ray of toe, minimum of 2 views16$100$6
X-ray of spine, 1 view13$93$7
X-ray of finger, minimum of 2 views16$88$5
X-ray of skull, 1-3 views11$81$7
X-ray of toe, minimum of 2 views15$71$5
X-ray of finger, minimum of 2 views12$63$5

2022: 158 services

Original Medicare services billed in 2022
X-ray of chest, 1 view1,717$14,580$8
X-ray of chest, 2 views1,255$13,721$11
X-ray of chest, 1 view1,602$13,516$8
Mri scan of lower spinal canal without contrast53$9,623$182
X-ray of chest, 2 views913$8,999$10
Ultrasound study of arm or leg veins with compression and maneuvers225$7,948$35
Ultrasound study of one arm or leg veins with compression and maneuvers328$7,502$23
Mri scan of leg joint without contrast54$7,474$136
Complete ultrasound scan of abdomen174$7,381$42
Complete ultrasound scan behind abdominal cavity160$5,930$37
Ct scan of abdomen and pelvis with contrast22$5,872$267
Ct scan head or brain without contrast157$5,871$36
Ultrasound scan of head and neck soft tissue102$5,560$53
Mri scan of brain without contrast30$5,526$184
Ultrasound study of one arm or leg veins with compression and maneuvers279$5,449$19
Ct scan of abdomen and pelvis without contrast70$5,312$75
Ultrasound study of arm or leg veins with compression and maneuvers171$5,219$31
X-ray of abdomen, 1 view570$4,979$8
Ct scan of chest without contrast47$4,868$99
Ct scan of abdomen and pelvis with contrast63$4,826$77
Mri scan of brain before and after contrast17$4,695$276
X-ray of hip, 2-3 views378$4,118$11
Mri scan of arm joint without contrast29$4,055$135
Mri scan of leg without contrast21$4,053$176
X-ray of hip, 2-3 views392$4,047$10
X-ray of knee, 1-2 views403$3,801$8
Mri scan of abdomen before and after contrast14$3,637$260
Mri scan of brain without contrast54$3,512$65
Ct scan of blood vessels of chest with contrast46$3,497$76
Ct scan of abdomen and pelvis without contrast20$3,346$167
Mri scan of upper spinal canal without contrast19$3,250$171
Complete ultrasound scan of abdomen89$3,225$36
Ultrasound of both sides of head and neck blood flow20$3,218$161
X-ray of abdomen, 1 view385$3,187$8
Complete ultrasound scan behind abdominal cavity96$3,108$32
X-ray of lower and sacral spine, 2-3 views255$2,911$11
Screening mammography18$2,731$152
X-ray of shoulder, minimum of 2 views285$2,681$9
Complete ultrasound scan of 1 breast19$2,415$121
X-ray of knee, 1-2 views273$2,355$8
Ct scan of chest without contrast52$2,333$45
Dxa bone density measurement of hip, pelvis, spine48$2,138$45
Ultrasound scan of abdominal aorta16$2,060$129
Limited ultrasound scan of abdomen65$1,976$30
X-ray of shoulder, minimum of 2 views209$1,949$9
Ct scan of abdomen and pelvis before and after contrast21$1,826$87
Ct scan of upper spine without contrast38$1,663$43
Mri scan of lower spinal canal without contrast26$1,648$63
Mri scan of upper spinal canal without contrast26$1,613$62
Limited ultrasound scan of abdomen61$1,595$26
Complete ultrasound scan of pelvis37$1,552$41
X-ray of hand, 2 views186$1,495$8
X-ray of foot, 2 views202$1,463$7
X-ray of both hips, 2 views126$1,374$11
Ct scan head or brain without contrast14$1,366$98
Limited ultrasound scan of 1 breast34$1,286$37
Mri scan of brain before and after contrast13$1,275$98
X-ray of lower and sacral spine, 2-3 views122$1,229$10
Ct scan of leg without contrast14$1,200$80
X-ray of thigh bone, minimum 2 views136$1,193$8
X-ray of wrist, 2 views151$1,178$8
X-ray of hip, 1 view130$1,129$9
X-ray of ankle, 2 views145$1,113$7
X-ray of thigh bone, minimum 2 views119$1,068$8
Screening 3d breast mammography18$1,066$59
Ct scan of blood vessels of abdomen and pelvis with contrast12$1,059$88
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml46$982$1
X-ray of lower leg, 2 views118$943$7
Ct scan of blood vessels of neck with contrast13$940$72
Mri scan of blood vessels of head without contrast18$920$51
X-ray of foot, minimum of 3 views109$915$8
X-ray of foot, 2 views119$912$7
Ct scan of blood vessels of head with contrast12$903$75
X-ray of abdomen, 2 views80$903$11
Limited ultrasound scan of joint or other extremity structure except blood vessels41$888$22
Ultrasound scan of scrotum22$869$38
Ct scan of chest with contrast19$862$45
X-ray of upper spine, 2-3 views74$849$11
Ct scan of lower spine without contrast19$807$42
X-ray of elbow, 2 views100$783$8
Ultrasound scan of head and neck soft tissue31$779$25
X-ray of knee, 3 views52$763$12
Limited ultrasound scan behind abdominal cavity20$746$37
X-ray of abdomen, 2 views70$742$10
X-ray of ankle, 2 views96$740$7
X-ray of hip, 1 view84$732$9
X-ray of forearm, 2 views98$731$7
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment12$729$61
X-ray of shoulder, 1 view101$724$7
X-ray of ribs on side of body, 2 views67$720$11
X-ray of lower leg, 2 views93$714$7
X-ray of entire middle and lower spine, 4-5 views41$672$16
X-ray of both hips, 2 views64$662$10
X-ray of wrist, 2 views85$656$8
X-ray of hand, minimum of 3 views53$637$11
Limited ultrasound scan of pelvis26$597$22
Limited ultrasound scan of pelvis27$584$22
X-ray of foot, minimum of 3 views66$574$8
X-ray of hand, 2 views70$565$8
X-ray of upper arm, minimum of 2 views75$564$7
X-ray of upper arm, minimum of 2 views77$556$7
Ultrasound of both sides of head and neck blood flow15$554$37
X-ray of sacrum and tailbone, minimum of 2 views69$548$8
X-ray of wrist, minimum of 3 views48$539$11
Complete ultrasound scan of pelvis17$517$30
X-ray of ankle, minimum of 3 views60$500$8
Limited ultrasound scan of joint or other extremity structure except blood vessels19$471$21
X-ray of sacrum and tailbone, minimum of 2 views59$469$8
X-ray of upper spine, 2-3 views45$466$10
X-ray of middle spine, 2 views41$466$11
X-ray of pelvis, 1-2 views54$445$8
X-ray of ankle, minimum of 3 views47$436$9
Ultrasound scan of scrotum15$423$28
X-ray of pelvis, 1-2 views51$404$8
X-ray of ribs on side of body, 2 views36$396$10
Limited ultrasound scan of 1 breast13$394$30
X-ray of elbow, 2 views50$388$8
X-ray of knee, 3 views43$385$9
X-ray of forearm, 2 views49$369$7
X-ray of shoulder, 1 view48$368$7
X-ray of both hips, 3-4 views27$364$13
X-ray of upper spine, 4-5 views12$312$26
X-ray of thigh bone, 1 view35$312$8
X-ray of lower and sacral spine, minimum of 4 views11$310$28
X-ray of knee, 4 or more views26$304$10
X-ray of wrist, minimum of 3 views38$297$7
X-ray of both hips, 3-4 views22$296$13
X-ray of thigh bone, 1 view37$289$8
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml35$289$0
X-ray of skull, 1-3 views34$279$8
X-ray of ribs on side of body, minimum of 3 views20$269$13
X-ray of middle spine, 2 views27$248$9
X-ray of pelvis, minimum of 3 views18$236$13
X-ray of elbow, minimum of 3 views23$231$10
X-ray of chest, 3 views19$229$12
X-ray of knee, 4 or more views17$211$10
Blood creatinine level41$208$5
X-ray of hand, minimum of 3 views26$204$8
X-ray of toe, minimum of 2 views34$197$6
X-ray of finger, minimum of 2 views31$197$6
X-ray of entire middle and lower spine, 4-5 views11$181$16
X-ray of skull, 1-3 views21$180$8
X-ray of spine, 1 view25$173$7
X-ray of both hips, minimum of 5 views12$168$14
X-ray series of abdomen with single x-ray of chest11$158$14
X-ray of both hips, minimum of 5 views11$155$14
X-ray of chest, minimum of 4 views11$154$14
X-ray of spine, 1 view19$152$7
X-ray of elbow, minimum of 3 views16$150$8
X-ray of ribs on both sides of body, 3 views11$145$13
X-ray of skull, minimum of 4 views11$141$13
X-ray of hip, minimum of 4 views11$138$13
X-ray of heel, minimum of 2 views19$137$7
Insertion of needle into vein for collection of blood sample40$119$3
X-ray of collar bone14$113$8
X-ray of heel, minimum of 2 views13$109$7
X-ray of finger, minimum of 2 views16$107$6
X-ray of face bones, 1-2 views11$102$9

2021: 120 services

Original Medicare services billed in 2021
Mri scan of lower spinal canal without contrast79$14,907$189
Ct scan head or brain without contrast315$11,771$36
Mri scan of brain without contrast53$10,294$194
Mri scan of brain before and after contrast31$10,085$315
Ultrasound of both sides of head and neck blood flow49$8,851$177
X-ray of chest, 1 view976$8,705$8
Dxa bone density measurement of hip, pelvis, spine187$8,450$45
Ultrasound scan of head and neck soft tissue88$8,366$93
Mri scan of brain without contrast133$8,360$63
Ct scan of abdomen and pelvis with contrast26$8,043$309
Ct scan of abdomen and pelvis without contrast104$7,946$74
Complete ultrasound scan of abdomen85$7,925$93
Ct scan of abdomen and pelvis with contrast95$7,532$79
Screening mammography165$7,067$43
X-ray of chest, 2 views209$5,600$26
Ct scan of chest without contrast123$5,360$43
Screening mammography34$5,235$154
Mri scan of upper spinal canal without contrast27$4,935$176
Complete ultrasound scan of 1 breast42$4,899$117
Complete ultrasound scan of 1 breast120$4,859$40
Mri scan of lower spinal canal without contrast78$4,611$59
Ct scan of abdomen and pelvis before and after contrast13$4,507$347
Ultrasound study of arm or leg veins with compression and maneuvers32$4,364$136
Ct scan of chest without contrast34$4,312$123
Ct scan of abdomen and pelvis without contrast24$4,299$179
Complete ultrasound scan behind abdominal cavity52$4,133$78
Screening 3d breast mammography104$3,650$35
Nuclear medicine study from skull base to mid-thigh with ct scan30$3,187$106
Mri scan of brain before and after contrast31$3,171$99
Ultrasound study of one arm or leg veins with compression and maneuvers48$3,163$65
Ct scan of blood vessels of chest with contrast39$3,016$77
X-ray of chest, 2 views303$2,926$9
Ct scan head or brain without contrast27$2,861$95
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina25$2,849$114
Biopsy of breast and placement of locating device using ultrasound, first growth19$2,792$147
Ultrasound study of one arm or leg veins with compression and maneuvers132$2,684$20
Complete ultrasound scan of abdomen70$2,368$34
Diagnostic mammography of 1 breast19$2,339$117
Ultrasound study of arm or leg veins with compression and maneuvers74$2,275$31
Low dose ct scan of chest for lung cancer screening14$2,229$159
Screening 3d breast mammography34$2,144$63
Complete ultrasound scan of pelvis25$2,116$81
Ct scan of upper spine without contrast50$2,115$41
Ultrasound of both sides of head and neck blood flow56$2,052$36
Diagnostic mammography of 1 breast63$2,019$31
Complete ultrasound scan behind abdominal cavity61$1,958$32
Mri scan of upper spinal canal without contrast28$1,812$65
Low dose ct scan of chest for lung cancer screening31$1,810$58
X-ray of chest, 1 view163$1,723$11
X-ray of lower and sacral spine, 2-3 views62$1,708$28
Diagnostic mammography of both breasts12$1,653$138
Ct scan of blood vessels of neck with contrast21$1,584$75
Ultrasound scan of abdominal aorta12$1,573$131
Ct scan of abdomen and pelvis before and after contrast18$1,567$87
Dxa bone density measurement of hip, pelvis, spine140$1,528$11
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)28$1,446$50
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment22$1,370$62
Diagnostic mammography of both breasts33$1,346$41
Ct scan of blood vessels of head with contrast17$1,322$78
Ct scan of leg without contrast28$1,314$45
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml62$1,298$1
X-ray of foot, minimum of 3 views30$1,232$35
Mri scan of lower spinal canal before and after contrast13$1,206$93
Limited ultrasound scan behind abdominal cavity21$1,175$56
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)46$1,167$25
Ct scan of lower spine without contrast29$1,136$39
Ultrasound scan of head and neck soft tissue44$1,028$23
Limited ultrasound scan of abdomen40$1,023$26
Ct scan of soft tissue of neck with contrast16$925$58
Ct scan of chest with contrast21$910$43
Blood creatinine level172$897$5
X-ray of hip, 2-3 views91$888$10
Mri scan of blood vessels of head without contrast18$874$49
X-ray of upper spine, 4-5 views18$832$46
Limited ultrasound scan of abdomen12$707$59
X-ray of hip, 2-3 views31$707$23
X-ray of abdomen, 1 view44$664$15
X-ray of wrist, minimum of 3 views17$634$35
X-ray of knee, 1-2 views25$611$21
X-ray of middle spine, 2 views20$600$29
X-ray of lower and sacral spine, minimum of 4 views13$577$44
X-ray of shoulder, minimum of 2 views32$573$17
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml64$555$0
Ct scan of face without contrast15$541$36
X-ray of abdomen, 1 view58$536$8
X-ray of hand, minimum of 3 views13$528$33
Insertion of needle into vein for collection of blood sample172$523$3
X-ray of foot, minimum of 3 views57$517$7
Limited ultrasound scan of joint or other extremity structure except blood vessels13$500$36
X-ray of lower and sacral spine, 2-3 views50$462$9
X-ray of knee, 1-2 views55$457$7
X-ray of shoulder, minimum of 2 views50$419$8
X-ray of upper spine, 2-3 views15$415$26
X-ray of abdomen, 2 views14$414$30
X-ray of ankle, minimum of 3 views15$410$27
Imaging for evaluation of swallowing function19$394$21
Limited ultrasound scan of 1 breast17$380$22
X-ray of abdomen, 2 views37$373$10
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina12$370$31
Limited ultrasound scan behind abdominal cavity14$336$24
X-ray of knee, 3 views38$321$8
Ultrasound scan of scrotum11$286$26
X-ray of lower leg, 2 views16$277$15
X-ray of hand, minimum of 3 views35$276$7
X-ray of thigh bone, minimum 2 views19$272$14
X-ray of both hips, 2 views13$252$19
Limited ultrasound scan of joint or other extremity structure except blood vessels11$232$21
X-ray of ankle, minimum of 3 views26$212$8
X-ray of wrist, minimum of 3 views25$196$7
X-ray series of abdomen with single x-ray of chest12$185$14
X-ray of thigh bone, minimum 2 views22$184$8
X-ray of pelvis, 1-2 views25$175$7
X-ray of lower leg, 2 views18$148$7
X-ray of lower and sacral spine, minimum of 4 views12$137$11
X-ray of hand, 2 views13$132$9
X-ray of ribs on side of body, 2 views13$122$9
X-ray of upper arm, minimum of 2 views15$110$7
X-ray of ankle, 2 views11$102$8
X-ray of foot, 2 views13$102$7
X-ray of forearm, 2 views11$80$7

2020: 103 services

Original Medicare services billed in 2020
Mri scan of lower spinal canal without contrast84$16,385$193
Ct scan head or brain without contrast388$14,843$37
Mri scan of brain without contrast61$11,757$190
Mri scan of brain before and after contrast32$11,029$324
X-ray of chest, 1 view1,017$9,537$8
Ct scan of abdomen and pelvis with contrast110$9,189$81
Screening mammography56$9,036$161
Screening mammography208$8,904$43
Mri scan of brain without contrast118$8,074$68
Ct scan of abdomen and pelvis without contrast101$7,717$75
Ct scan of chest without contrast110$5,722$52
Ultrasound scan of head and neck soft tissue56$5,423$97
Mri scan of upper spinal canal without contrast30$5,373$179
Complete ultrasound scan of 1 breast39$5,004$128
Mri scan of brain before and after contrast47$4,902$102
Mri scan of lower spinal canal without contrast75$4,705$63
Ct scan of abdomen and pelvis with contrast15$4,458$297
Ct scan of blood vessels of chest with contrast54$4,373$80
X-ray of chest, 2 views145$3,964$27
Ultrasound of both sides of head and neck blood flow21$3,880$185
Ultrasound study of arm or leg veins with compression and maneuvers26$3,731$143
Complete ultrasound scan of 1 breast81$3,703$45
X-ray of chest, 2 views379$3,702$9
Screening 3d breast mammography56$3,556$64
Dxa bone density measurement of hip, pelvis, spine76$3,474$46
Complete ultrasound scan of abdomen32$3,417$107
Ct scan of chest without contrast24$3,308$138
Ultrasound study of arm or leg veins with compression and maneuvers87$2,958$33
Ct scan head or brain without contrast29$2,419$83
Mri scan of blood vessels of head without contrast12$2,335$195
Ct scan of upper spine without contrast54$2,327$43
Mri scan of middle spinal canal without contrast14$2,317$166
Complete ultrasound scan behind abdominal cavity22$2,311$100
Ultrasound study of one arm or leg veins with compression and maneuvers26$2,298$85
Screening 3d breast mammography61$2,083$34
Ultrasound of both sides of head and neck blood flow61$2,006$33
Diagnostic mammography of 1 breast17$1,948$115
Mri scan of upper spinal canal without contrast29$1,870$64
Complete ultrasound scan behind abdominal cavity56$1,866$33
Nuclear medicine study from skull base to mid-thigh with ct scan18$1,828$96
Ct scan of chest with contrast36$1,777$49
Ultrasound study of one arm or leg veins with compression and maneuvers88$1,736$20
Complete ultrasound scan of abdomen46$1,649$35
Low dose ct scan (ldct) for lung cancer screening29$1,636$56
Dxa bone density measurement of hip, pelvis, spine148$1,628$11
Diagnostic mammography of both breasts12$1,616$135
Mri scan of lower spinal canal before and after contrast17$1,615$95
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)29$1,436$50
Limited ultrasound scan of abdomen17$1,273$75
Ct scan of face without contrast35$1,233$35
Ultrasound scan of head and neck soft tissue55$1,210$22
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment19$1,197$63
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml55$1,192$1
Ct scan of abdomen and pelvis before and after contrast14$1,180$84
Diagnostic mammography of 1 breast30$1,171$37
Imaging for evaluation of swallowing function44$1,138$24
Ct scan of lower spine without contrast27$1,117$41
Ct scan of leg without contrast25$1,101$44
Ct scan of blood vessels of abdomen and pelvis with contrast11$1,092$99
Ct scan of blood vessels of head with contrast13$1,044$80
Complete ultrasound scan of pelvis12$1,010$84
Ct scan of blood vessels of neck with contrast13$997$77
Limited ultrasound scan behind abdominal cavity18$957$53
Diagnostic mammography of both breasts22$953$43
Mri scan of middle spinal canal without contrast14$861$61
X-ray of hip, 2-3 views84$853$10
Limited ultrasound scan of abdomen37$833$23
Limited ultrasound scan of 1 breast12$822$68
X-ray of lower and sacral spine, 2-3 views25$798$31
Blood creatinine level138$712$5
X-ray of upper spine, 4-5 views14$560$40
X-ray of abdomen, 1 view60$559$8
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)20$559$28
X-ray of shoulder, minimum of 2 views49$457$8
X-ray of lower and sacral spine, 2-3 views49$447$9
X-ray of shoulder, minimum of 2 views13$426$28
Insertion of needle into vein for collection of blood sample138$417$3
Limited ultrasound scan of 1 breast14$416$30
X-ray of foot, minimum of 3 views48$407$8
Limited ultrasound scan behind abdominal cavity16$396$25
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml45$383$0
X-ray of middle spine, 2 views11$325$30
X-ray of ribs on side of body, minimum of 3 views11$325$30
X-ray of ankle, minimum of 3 views37$320$8
X-ray of foot, minimum of 3 views13$307$24
X-ray of abdomen, 1 view12$303$25
X-ray of knee, 3 views31$297$8
X-ray of abdomen, 2 views25$263$11
X-ray of knee, 1-2 views27$231$8
X-ray of wrist, minimum of 3 views25$191$7
X-ray series of abdomen with single x-ray of chest13$189$15
X-ray of pelvis, 1-2 views22$175$8
X-ray of hand, minimum of 3 views20$174$8
X-ray of lower leg, 2 views18$139$7
X-ray of ribs on side of body, minimum of 3 views12$130$11
X-ray of upper arm, minimum of 2 views15$124$8
X-ray of upper spine, 4-5 views12$122$10
X-ray of lower and sacral spine, minimum of 4 views12$119$10
X-ray of upper spine, 2-3 views13$112$9
X-ray of middle spine, 2 views14$111$8
X-ray of knee, 4 or more views11$108$10
X-ray of thigh bone, minimum 2 views12$93$8
X-ray of ribs on side of body, 2 views11$92$8

2019: 94 services

Original Medicare services billed in 2019
Screening mammography197$31,016$157
Complete ultrasound scan of 1 breast101$17,077$88
Ct scan head or brain without contrast359$13,849$37
Mri scan of lower spinal canal without contrast71$13,171$183
Mri scan of brain before and after contrast40$12,547$314
Screening 3d breast mammography197$12,313$63
Mri scan of brain without contrast51$9,849$193
Ct scan of abdomen and pelvis with contrast113$9,417$80
Mri scan of brain without contrast130$8,679$66
Ct scan of abdomen and pelvis without contrast104$8,184$78
X-ray of chest, 1 view756$7,108$8
Screening mammography168$6,836$41
Mri scan of upper spinal canal without contrast36$6,338$176
Mri scan of brain before and after contrast52$5,469$103
Ct scan of chest without contrast94$5,015$52
Mri scan of lower spinal canal without contrast73$4,858$66
Ultrasound scan of head and neck soft tissue55$4,764$87
Ct scan head or brain without contrast45$4,663$99
Ct scan of chest without contrast32$4,464$135
X-ray of chest, 2 views176$4,386$25
Ultrasound of both sides of head and neck blood flow24$4,267$178
X-ray of chest, 2 views418$4,258$9
Ct scan of blood vessels of chest with contrast50$3,978$80
Ultrasound study of one arm or leg veins with compression and maneuvers39$3,892$97
Ct scan of abdomen and pelvis with contrast13$3,634$280
Diagnostic mammography of 1 breast32$3,602$109
Complete ultrasound scan of abdomen34$3,243$95
Ct scan of abdomen and pelvis without contrast18$3,241$180
Complete ultrasound scan of 1 breast57$3,241$31
Ultrasound study of arm or leg veins with compression and maneuvers20$3,226$161
Ultrasound study of arm or leg veins with compression and maneuvers103$3,199$31
Complete ultrasound scan behind abdominal cavity78$2,590$33
Dxa bone density measurement of hip, pelvis, spine56$2,553$46
Mri scan of middle spinal canal without contrast11$2,219$202
Mri scan of upper spinal canal without contrast33$2,106$64
Ct scan of lower spine without contrast16$1,993$125
Complete ultrasound scan of abdomen57$1,989$35
Ultrasound of both sides of head and neck blood flow53$1,927$36
Ct scan of upper spine without contrast41$1,887$46
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina16$1,818$114
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)36$1,787$48
Imaging for evaluation of swallowing function70$1,767$24
Ultrasound study of one arm or leg veins with compression and maneuvers84$1,707$20
Ct scan of chest with contrast30$1,584$51
Ct scan of abdomen and pelvis before and after contrast18$1,537$85
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml65$1,416$1
Limited ultrasound scan of 1 breast18$1,414$74
Mri scan of abdomen before and after contrast14$1,349$96
Mri scan of lower spinal canal before and after contrast13$1,323$102
Complete ultrasound scan behind abdominal cavity15$1,314$88
Mri scan of middle spinal canal without contrast18$1,255$66
Ct scan of leg without contrast27$1,239$46
Blood creatinine level197$1,205$6
Ct scan of face without contrast30$1,134$38
Limited ultrasound scan of abdomen44$1,127$26
Ct scan of lower spine without contrast23$1,078$45
Ct scan of blood vessels of neck with contrast14$1,067$76
Dxa bone density measurement of hip, pelvis, spine98$1,054$11
Complete ultrasound scan of pelvis13$984$76
Diagnostic mammography of 1 breast24$872$35
Ultrasound scan of head and neck soft tissue35$866$25
Diagnostic mammography of both breasts18$747$42
Mri scan of blood vessels of head without contrast14$738$53
Limited ultrasound scan behind abdominal cavity19$715$38
X-ray of hip, 2-3 views66$669$10
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment11$606$55
X-ray of abdomen, 1 view69$580$8
Insertion of needle into vein for collection of blood sample190$576$3
Screening 3d breast mammography17$569$33
X-ray of foot, minimum of 3 views15$524$28
X-ray of lower and sacral spine, 2-3 views17$492$29
X-ray of hip, 2-3 views13$472$36
X-ray of lower and sacral spine, minimum of 4 views11$444$40
Limited ultrasound scan behind abdominal cavity17$432$25
X-ray of lower and sacral spine, 2-3 views42$420$10
X-ray of shoulder, minimum of 2 views42$382$8
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml43$382$0
X-ray of shoulder, minimum of 2 views11$355$27
Ultrasound scan of scrotum12$339$28
X-ray of ankle, minimum of 3 views11$339$28
X-ray of abdomen, 2 views30$312$10
X-ray of knee, 1-2 views33$289$8
X-ray of knee, 3 views30$282$8
X-ray of foot, minimum of 3 views35$277$7
X-ray of hip, 1 view26$269$9
X-ray of ankle, minimum of 3 views25$204$8
X-ray of wrist, minimum of 3 views23$196$8
X-ray of lower and sacral spine, minimum of 4 views13$169$13
X-ray of ribs on side of body, 2 views14$139$10
X-ray of hand, minimum of 3 views16$109$7
X-ray of pelvis, 1-2 views13$102$8
X-ray of spine, 1 view12$98$7
X-ray of thigh bone, minimum 2 views11$90$8
X-ray of lower leg, 2 views13$86$7

2018: 73 services

Original Medicare services billed in 2018
Screening mammography216$33,789$156
Complete ultrasound scan of 1 breast111$20,163$92
Mri scan of lower spinal canal without contrast99$18,752$189
Mri scan of brain without contrast77$15,089$193
Screening 3d breast mammography216$13,295$62
Mri scan of brain before and after contrast39$12,392$318
Ct scan head or brain without contrast253$9,993$37
Mri scan of brain without contrast116$7,811$67
X-ray of chest, 1 view671$6,458$8
Mri scan of upper spinal canal without contrast30$5,454$182
Dxa bone density measurement of hip, pelvis, spine110$5,192$47
Ultrasound of both sides of head and neck blood flow28$4,838$173
Ct scan of chest without contrast34$4,681$138
Ct scan of abdomen and pelvis without contrast57$4,501$79
Ct scan of abdomen and pelvis with contrast16$4,331$271
Ultrasound scan of head and neck soft tissue45$4,328$94
Mri scan of lower spinal canal before and after contrast13$4,222$325
Ct scan head or brain without contrast42$3,952$92
X-ray of chest, 2 views158$3,681$22
Diagnostic mammography of 1 breast30$3,666$118
Ultrasound study of one arm or leg veins with compression and maneuvers33$3,560$105
Ct scan of chest without contrast65$3,349$52
Complete ultrasound scan of abdomen32$3,165$99
X-ray of chest, 2 views295$2,955$10
Ct scan of abdomen and pelvis with contrast34$2,836$79
Ultrasound study of arm or leg veins with compression and maneuvers80$2,535$31
Mri scan of brain before and after contrast22$2,275$103
Ct scan of blood vessels of chest with contrast26$2,124$82
Ct scan of abdomen and pelvis without contrast13$2,120$163
Ultrasound of both sides of head and neck blood flow54$2,032$37
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)39$1,948$49
Complete ultrasound scan behind abdominal cavity54$1,791$33
Limited ultrasound scan of 1 breast20$1,771$80
Mri scan of lower spinal canal without contrast26$1,728$66
Diagnostic mammography of both breasts12$1,639$137
Blood creatinine level128$1,632$6
Ct scan of lower spine without contrast11$1,561$142
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina14$1,311$94
Ultrasound study of one arm or leg veins with compression and maneuvers62$1,266$20
Imaging for evaluation of swallowing function52$1,258$24
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml45$1,134$1
Mri scan of upper spinal canal without contrast17$1,130$66
Limited ultrasound scan behind abdominal cavity21$1,092$52
Ct scan of upper spine without contrast24$1,063$44
Ct scan of chest with contrast19$958$50
Screening mammography21$900$43
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment18$763$42
X-ray of foot, minimum of 3 views23$745$25
X-ray of lower and sacral spine, 2-3 views24$706$28
Mri scan of blood vessels of head without contrast13$700$54
Ct scan of leg without contrast15$684$46
Limited ultrasound scan of abdomen26$651$25
Injection, gadobutrol, 0.1 ml21$582$0
Ct scan of face without contrast14$539$38
Complete ultrasound scan of 1 breast11$496$25
X-ray of hip, 2-3 views48$468$10
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml36$445$0
Complete ultrasound scan of abdomen11$395$36
Diagnostic mammography of 1 breast13$380$29
Limited ultrasound scan behind abdominal cavity14$364$26
Nuclear medicine study of liver and bile duct system11$363$33
X-ray of abdomen, 1 view15$345$23
X-ray of shoulder, minimum of 2 views14$341$24
X-ray of abdomen, 1 view40$339$8
X-ray of knee, 1-2 views41$331$7
X-ray of knee, 3 views26$224$8
X-ray of shoulder, minimum of 2 views26$215$8
X-ray of foot, minimum of 3 views23$176$7
X-ray of lower and sacral spine, 2-3 views16$142$9
X-ray of hip, 1 view16$138$8
X-ray of abdomen, 2 views12$125$10
X-ray of wrist, minimum of 3 views11$96$8
X-ray of hand, minimum of 3 views11$74$6

2017: 81 services

Original Medicare services billed in 2017
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed204$31,185$153
Complete ultrasound scan of 1 breast106$18,110$87
Mri scan of lower spinal canal without contrast84$15,410$183
Mri scan of brain without contrast74$14,731$199
Mri scan of brain before and after contrast38$12,078$318
Screening 3d breast mammography194$11,899$61
Ct scan head or brain without contrast218$8,395$37
Ultrasound of both sides of head and neck blood flow49$8,202$167
Ct scan of chest without contrast50$7,492$144
X-ray of chest, 1 view, front610$6,196$8
Dxa bone density measurement of hip, pelvis, spine118$5,343$45
Mri scan of brain without contrast79$5,264$66
Complete ultrasound scan of abdomen51$5,136$101
Mri scan of upper spinal canal without contrast28$5,030$180
Ct scan of abdomen and pelvis without contrast60$4,868$77
Ct scan of abdomen and pelvis without contrast28$4,807$172
Ct scan of abdomen and pelvis with contrast52$4,461$83
Ultrasound study of arm or leg veins with compression and maneuvers25$4,318$173
X-ray of chest, 2 views, front and side185$4,165$22
Ct scan head or brain without contrast43$4,120$96
Ultrasound scan of head and neck soft tissue40$3,845$96
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral28$3,212$111
Ct scan of chest without contrast59$2,765$45
Ultrasound study of arm or leg veins with compression and maneuvers78$2,460$32
Complete ultrasound scan behind abdominal cavity73$2,353$32
Ultrasound study of one arm or leg veins with compression and maneuvers24$2,340$94
X-ray of chest, 2 views, front and side218$2,215$10
Limited ultrasound scan of 1 breast24$2,020$75
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed46$1,913$42
Mri scan of brain before and after contrast19$1,874$99
Complete ultrasound scan behind abdominal cavity22$1,838$80
Complete ultrasound scan of 1 breast29$1,687$33
Ct scan of lower spine without contrast14$1,662$119
Injection, gadobutrol, 0.1 ml61$1,659$0
Ct scan of blood vessels of chest with contrast19$1,555$82
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina14$1,443$103
Blood creatinine level202$1,416$3
Ultrasound of both sides of head and neck blood flow37$1,295$35
Limited ultrasound scan behind abdominal cavity24$1,188$50
Complete ultrasound scan of pelvis13$1,181$91
Ultrasound scan of abdominal aorta11$1,163$106
Mri scan of lower spinal canal without contrast17$1,156$68
Ultrasound study of one arm or leg veins with compression and maneuvers56$1,109$19
Ct scan of blood vessels of head with contrast13$1,035$80
Ct scan of upper spine without contrast21$1,007$48
Ct scan of chest with contrast18$998$55
Imaging for evaluation of swallowing function38$981$24
X-ray of lower and sacral spine, 2-3 views31$871$28
Complete ultrasound scan of abdomen23$861$36
Ct scan of blood vessels of neck with contrast11$848$77
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)17$837$49
Mri scan of blood vessels of head without contrast14$759$54
Mri scan of upper spinal canal without contrast12$736$61
Screening 3d breast mammography21$716$34
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral20$707$35
X-ray of foot, minimum of 3 views25$608$22
Limited ultrasound scan of abdomen22$578$26
Ct scan of lower spine without contrast12$538$45
X-ray of hip, 2-3 views51$505$10
Ct scan of face without contrast15$494$33
X-ray of upper spine, 4-5 views12$482$40
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml39$444$0
X-ray of hip, 2-3 views14$443$32
X-ray of shoulder, minimum of 2 views17$401$21
X-ray of hand, minimum of 3 views13$382$27
X-ray of ribs on side of body, minimum of 3 views11$355$32
X-ray of abdomen, single view38$348$8
Imaging of abdomen26$324$12
X-ray of lower and sacral spine, minimum of 4 views12$312$26
X-ray of ankle, minimum of 3 views12$311$26
X-ray of knee, 3 views27$258$9
X-ray of spine, 1 view31$254$7
X-ray of lower and sacral spine, 2-3 views21$211$10
X-ray of shoulder, minimum of 2 views23$206$9
X-ray of foot, minimum of 3 views25$199$8
X-ray of abdomen, single view11$191$17
X-ray of thigh bone, minimum 2 views20$172$9
X-ray of hip, 1 view16$164$8
X-ray of knee, 1-2 views12$100$8
X-ray of ankle, minimum of 3 views12$95$8
X-ray of foot, 2 views13$84$6

2016: 92 services

Original Medicare services billed in 2016
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed406$63,182$156
Complete ultrasound scan of 1 breast222$41,596$97
Mri scan of lower spinal canal without contrast126$24,662$196
Screening 3d breast mammography365$23,107$63
Mri scan of brain before and after contrast50$16,351$321
Mri scan of brain without contrast80$15,416$190
Ct scan of chest without contrast86$12,360$136
Ct scan of abdomen and pelvis with contrast36$9,697$269
Ct scan of abdomen and pelvis without contrast45$7,772$169
Ct scan head or brain without contrast217$7,644$35
Ultrasound of both sides of head and neck blood flow44$7,556$172
Complete ultrasound scan of abdomen71$7,363$104
Mri scan of upper spinal canal without contrast36$7,032$190
Dxa bone density measurement of hip, pelvis, spine147$6,999$48
Ct scan of abdomen and pelvis before and after contrast21$6,716$320
Mri scan of abdomen before and after contrast14$6,546$468
Ct scan of abdomen and pelvis without contrast75$6,100$77
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral53$6,031$106
Mri scan of brain without contrast92$5,927$64
X-ray of chest, 2 views, front and side250$5,744$22
X-ray of chest, 1 view, front557$5,109$8
Ultrasound study of arm or leg veins with compression and maneuvers29$4,971$171
Mri scan of lower spinal canal before and after contrast15$4,773$318
Ultrasound scan of head and neck soft tissue48$4,585$94
Ultrasound study of one arm or leg veins with compression and maneuvers39$4,203$105
Limited ultrasound scan of 1 breast43$3,950$75
Ct scan head or brain without contrast39$3,926$98
Computer analysis of screening mammogram to assist detection of cancer403$3,751$9
Ct scan of abdomen and pelvis with contrast39$3,226$81
Complete ultrasound scan behind abdominal cavity30$3,100$103
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral20$2,991$150
Ct scan of blood vessels of chest with contrast34$2,801$80
Limited ultrasound scan behind abdominal cavity58$2,791$47
Ct scan of chest without contrast63$2,690$42
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed67$2,640$39
Ct scan of chest with contrast17$2,502$147
Mri scan of middle spinal canal without contrast13$2,374$183
Injection, gadobutrol, 0.1 ml78$2,233$0
Ct scan of soft tissue of neck with contrast11$2,174$198
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)39$2,097$50
Ct scan of lower spine without contrast15$2,043$136
Ultrasound study of arm or leg veins with compression and maneuvers59$1,918$31
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina19$1,894$100
Complete ultrasound scan of 1 breast35$1,886$30
Mri scan of brain before and after contrast18$1,841$102
Ultrasound of both sides of head and neck blood flow49$1,776$36
Blood creatinine level236$1,702$4
Complete ultrasound scan of pelvis18$1,678$93
X-ray of chest, 2 views, front and side165$1,540$9
Complete ultrasound scan behind abdominal cavity43$1,388$32
Mri scan of lower spinal canal without contrast22$1,337$61
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml86$1,097$0
X-ray of lower and sacral spine, 2-3 views36$994$28
Mri scan of blood vessels of head without contrast18$974$54
Insertion of tube for infusion (5 years or older)11$947$86
Complete ultrasound scan of abdomen25$884$35
X-ray of foot, minimum of 3 views30$864$23
Mri scan of upper spinal canal without contrast13$863$66
Ct scan of blood vessels of neck with contrast12$833$69
Ct scan of upper spine without contrast16$755$47
X-ray of hip, 2-3 views21$755$36
Ct scan of chest with contrast18$755$42
Imaging for evaluation of swallowing function28$702$24
Injection of drug or substance into vein12$676$52
X-ray of abdomen, single view30$574$19
Ct scan of lower spine without contrast14$525$37
Computer analysis of diagnostic mammogram67$518$7
Limited ultrasound scan of abdomen21$487$23
Ultrasound study of one arm or leg veins with compression and maneuvers26$478$18
X-ray of upper spine, 4-5 views11$460$42
X-ray of hand, minimum of 3 views13$454$25
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral15$441$29
X-ray of knee, 3 views12$428$33
X-ray of knee, 1-2 views12$402$29
Limited ultrasound scan behind abdominal cavity16$377$24
X-ray of ribs on side of body, minimum of 3 views12$365$30
X-ray of abdomen, single view42$364$8
X-ray of hip, 2-3 views30$306$10
3d radiographic procedure13$273$21
X-ray of shoulder, minimum of 2 views11$262$24
X-ray of hip, 1 view26$208$7
Computer analysis of screening mammogram to assist detection of cancer67$204$3
X-ray of shoulder, minimum of 2 views24$181$8
X-ray of spine, 1 view17$170$7
X-ray of knee, 3 views17$147$8
Ultrasonic guidance for blood vessel access11$144$13
X-ray of knee, 1-2 views17$131$7
X-ray of foot, minimum of 3 views18$130$7
X-ray of lower and sacral spine, 2-3 views13$111$9
X-ray of wrist, minimum of 3 views12$96$7
X-ray of pelvis, 1-2 views11$72$7
Computer analysis of diagnostic mammogram18$39$2

2015: 87 services

Original Medicare services billed in 2015
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed332$51,178$154
Complete ultrasound scan of 1 breast185$33,556$94
Mri scan of lower spinal canal without contrast80$15,331$189
Mri scan of brain before and after contrast34$12,633$324
Ct scan of chest without contrast68$9,872$145
Ct scan head or brain without contrast276$9,557$33
Ct scan of abdomen and pelvis with contrast30$8,053$268
Mri scan of brain without contrast42$7,913$188
Complete ultrasound scan of abdomen57$6,196$107
Mri scan of upper spinal canal without contrast31$6,163$199
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral55$5,856$105
Dxa bone density measurement of hip, pelvis, spine121$5,683$47
Ct scan of abdomen and pelvis without contrast30$5,227$174
Ct scan of abdomen and pelvis without contrast71$5,109$72
Ct scan of abdomen and pelvis before and after contrast16$4,911$307
Screening 3d breast mammography75$4,862$65
Mri scan of brain without contrast76$4,816$63
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed112$4,422$39
Ct scan of abdomen and pelvis with contrast55$4,294$77
X-ray of chest, 1 view, front490$4,260$8
Complete ultrasound scan of 1 breast72$4,083$32
Mri scan of leg joint without contrast18$3,596$200
Computer analysis of screening mammogram to assist detection of cancer332$3,541$11
X-ray of chest, 2 views, front and side149$3,343$22
Limited ultrasound scan of 1 breast34$3,156$75
Ultrasound of both sides of head and neck blood flow17$3,081$181
Ultrasound scan of head and neck soft tissue34$3,072$90
Ultrasound study of one arm or leg veins with compression and maneuvers31$2,990$96
Ct scan of chest without contrast65$2,657$41
Ct scan of chest with contrast16$2,399$150
Ct scan head or brain without contrast24$2,390$100
Ultrasound study of arm or leg veins with compression and maneuvers13$2,255$173
Mri scan of brain before and after contrast21$2,255$102
Complete ultrasound scan behind abdominal cavity23$2,251$94
Ct scan of blood vessels of chest with contrast28$2,194$78
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina22$2,042$93
Limited ultrasound scan behind abdominal cavity45$1,976$44
Complete ultrasound scan of pelvis20$1,621$81
Ct scan of abdomen and pelvis before and after contrast16$1,441$90
Ultrasound study of arm or leg veins with compression and maneuvers41$1,253$31
Ultrasound of both sides of head and neck blood flow35$1,126$32
Mri scan of lower spinal canal without contrast18$1,120$62
Injection, gadobutrol, 0.1 ml35$1,107$0
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral11$1,081$98
Blood creatinine level147$1,031$4
X-ray of chest, 2 views, front and side119$1,024$9
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml67$974$0
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral30$948$28
Ct scan of upper spine without contrast24$922$38
Ultrasound study of one arm or leg veins with compression and maneuvers46$895$19
Mri scan of blood vessels of head without contrast16$869$54
Complete ultrasound scan behind abdominal cavity26$766$29
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral19$751$38
X-ray of lower and sacral spine, 2-3 views28$708$25
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml24$654$2
Ct scan of face without contrast23$611$27
Complete ultrasound scan of abdomen18$606$34
Limited ultrasound scan of 1 breast15$600$25
Ct scan of chest with contrast15$600$40
X-ray of ribs on side of body, minimum of 3 views16$562$33
Ct scan of leg without contrast13$552$42
Computer analysis of diagnostic mammogram56$488$9
X-ray of lower and sacral spine, minimum of 4 views11$479$44
X-ray of upper spine, 4-5 views11$439$40
Ct scan of lower spine without contrast11$432$39
Computer analysis of screening mammogram to assist detection of cancer112$429$4
X-ray of hand, minimum of 3 views12$415$28
X-ray of ribs of one side of body, minimum of 2 views16$399$25
X-ray of knee, 1-2 views11$397$26
X-ray of abdomen, single view19$372$20
Limited ultrasound scan of abdomen18$370$21
X-ray of foot, minimum of 3 views12$368$23
Imaging for evaluation of swallowing function14$339$24
X-ray of abdomen, single view34$265$8
X-ray of ribs of one side of body, minimum of 2 views30$262$8
X-ray of knee, 1-2 views28$251$9
X-ray of pelvis, 1-2 views28$224$8
Imaging of abdomen16$178$11
X-ray of knee, 3 views22$174$8
X-ray of foot, minimum of 3 views22$168$7
X-ray of spine, 1 view15$163$7
X-ray of hip on one side of body, 1 view14$129$9
Computer analysis of diagnostic mammogram38$129$3
X-ray of thigh, 2 views15$112$7
X-ray of ankle, minimum of 3 views13$104$8
X-ray of lower leg, 2 views13$96$7
X-ray of shoulder, minimum of 2 views15$93$6

2014: 78 services

Original Medicare services billed in 2014
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed396$60,636$153
Ultrasound of breasts247$21,477$85
Mri scan of lower spinal canal without contrast76$16,934$214
Mri scan of brain without contrast55$11,699$213
Ct scan of chest without contrast71$11,494$153
Ct scan of abdomen and pelvis without contrast57$10,991$186
Mri scan of brain before and after contrast28$10,257$321
Ct scan of abdomen and pelvis with contrast33$9,962$293
Complete ultrasound scan of abdomen62$7,842$124
Mri scan of abdomen before and after contrast13$6,692$478
Ct scan of abdomen and pelvis before and after contrast18$6,195$344
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral55$5,961$108
Ct scan head or brain without contrast155$5,764$35
Dxa bone density measurement of hip, pelvis, spine97$5,437$56
Mri scan of upper spinal canal without contrast24$5,198$217
Mri scan of leg joint without contrast23$5,118$223
Ultrasound of both sides of head and neck blood flow30$5,017$167
Computer analysis of screening mammogram to assist detection of cancer386$4,660$12
X-ray of chest, 2 views, front and side178$4,560$25
Ultrasound scan of head and neck soft tissue48$4,542$95
Mri scan of lower spinal canal before and after contrast12$4,153$346
Ultrasound study of one arm or leg veins with compression and maneuvers41$4,074$97
Limited ultrasound scan behind abdominal cavity71$3,845$54
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina31$3,744$117
Complete ultrasound scan behind abdominal cavity27$3,399$121
Ct scan head or brain without contrast30$3,169$102
Complete ultrasound scan of pelvis32$3,152$98
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed79$3,077$39
X-ray of chest, 1 view, front328$3,069$8
Ct scan of abdomen and pelvis with contrast38$3,033$80
Mri scan of brain without contrast44$2,912$63
Ct scan of abdomen and pelvis without contrast35$2,716$78
Ultrasound study of arm or leg veins with compression and maneuvers15$2,582$172
Ultrasound of abdomen and pelvis artery and vein blood flow13$2,446$188
Ct scan of lower spine without contrast15$2,231$149
Ct scan of chest with contrast15$2,105$140
Ct scan of chest without contrast46$2,090$44
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral14$2,016$144
Ct scan of blood vessels of chest with contrast22$1,848$84
Mri scan of brain before and after contrast16$1,848$103
Ultrasound of breasts56$1,386$24
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml36$1,294$2
Ultrasound study of arm or leg veins with compression and maneuvers38$1,217$31
X-ray of lower and sacral spine, 2-3 views38$1,188$30
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml69$1,140$0
Ct scan of upper spine without contrast23$1,053$46
Mri scan of lower spinal canal without contrast14$944$67
Ct scan of blood vessels of neck with contrast13$937$72
Limited ultrasound scan of abdomen11$931$85
X-ray of foot, minimum of 3 views21$839$28
X-ray of chest, 2 views, front and side80$795$9
Blood creatinine level135$761$4
Mri scan of blood vessels of head without contrast14$714$51
X-ray of knee, 1-2 views19$681$26
Ct scan of chest with contrast15$669$45
X-ray of ribs of one side of body, minimum of 2 views19$622$33
Computer analysis of diagnostic mammogram63$617$10
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral20$613$31
Injection, gadobutrol, 0.1 ml32$607$0
X-ray of ankle, minimum of 3 views16$530$29
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral13$508$39
Ultrasound study of one arm or leg veins with compression and maneuvers25$490$20
X-ray of shoulder, minimum of 2 views14$461$27
Ultrasound of both sides of head and neck blood flow18$456$25
X-ray of lower and sacral spine, minimum of 4 views11$431$39
X-ray of abdomen, single view18$417$23
Complete ultrasound scan behind abdominal cavity11$314$29
Imaging for evaluation of swallowing function13$311$24
Limited ultrasound scan behind abdominal cavity13$305$23
X-ray of pelvis, 1-2 views11$293$27
Computer analysis of screening mammogram to assist detection of cancer79$292$4
X-ray of ribs of one side of body, minimum of 2 views26$280$11
X-ray of pelvis, 1-2 views29$277$9
X-ray of abdomen, single view28$229$8
Insertion of needle into vein for collection of blood sample70$212$3
Urea nitrogen level to assess kidney function, quantitative67$206$3
X-ray of knee, 1-2 views13$134$9
Computer analysis of diagnostic mammogram31$92$3

2013: 81 services

Original Medicare services billed in 2013
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed444$69,663$157
Ultrasound of breasts279$20,260$71
Mri scan of lower spinal canal without contrast63$19,723$313
Mri scan of brain before and after contrast36$17,828$495
Mri scan of brain without contrast43$15,162$345
Ct scan of abdomen and pelvis before and after contrast33$12,258$371
Ct scan of chest without contrast55$10,559$185
Dxa bone density measurement of hip, pelvis, spine174$9,853$57
Mri scan of upper spinal canal without contrast28$8,917$318
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral78$8,908$109
Ct scan of abdomen and pelvis with contrast27$7,888$292
Mri scan of leg joint without contrast29$7,065$244
Ct scan of abdomen and pelvis without contrast33$6,412$194
Limited ultrasound scan behind abdominal cavity65$6,401$93
Complete ultrasound scan of abdomen58$6,331$109
Mri scan of lower spinal canal before and after contrast12$5,808$484
Computer analysis of screening mammogram to assist detection of cancer444$5,145$12
Ultrasound of both sides of head and neck blood flow32$4,975$155
X-ray of chest, 2 views, front and side191$4,863$25
Ultrasound scan of head and neck soft tissue43$4,337$101
Mri scan of middle spinal canal without contrast11$3,685$335
Ct scan head or brain without contrast110$3,471$31
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral23$3,347$146
Ultrasound study of one arm or leg veins with compression and maneuvers33$3,172$96
Ct scan head or brain without contrast24$3,101$129
Mri scan of arm joint without contrast13$3,071$219
Mri scan of brain without contrast50$2,946$59
Ct scan of abdomen and pelvis without contrast40$2,909$73
X-ray of chest, 1 view, front303$2,790$7
Complete ultrasound scan of pelvis26$2,676$103
Ultrasound study of arm or leg veins with compression and maneuvers12$1,907$159
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed51$1,903$37
Ct scan of chest with contrast11$1,832$167
Complete ultrasound scan behind abdominal cavity17$1,737$102
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina22$1,458$63
Ct scan of chest without contrast33$1,425$42
Ct scan of abdomen and pelvis with contrast19$1,297$68
X-ray of chest, 2 views, front and side148$1,296$9
Ct scan of blood vessels of chest with contrast17$1,224$72
3d radiographic procedure20$1,087$54
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml75$1,076$0
X-ray of lower and sacral spine, 2-3 views32$1,034$32
Ultrasound study of arm or leg veins with compression and maneuvers34$977$29
Mri scan of brain before and after contrast11$954$79
X-ray of foot, minimum of 3 views22$896$30
Mri scan of lower spinal canal without contrast15$875$58
X-ray of knee, 1-2 views24$873$27
Single contrast x-ray of esophagus11$812$74
Computer analysis of diagnostic mammogram84$794$9
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml29$766$2
X-ray of ribs of one side of body, minimum of 2 views19$619$33
X-ray of shoulder, minimum of 2 views19$569$27
X-ray of abdomen, single view22$523$22
Ultrasound study of one arm or leg veins with compression and maneuvers28$496$18
X-ray of upper spine, 6 or more views12$474$40
X-ray of ankle, minimum of 3 views13$462$31
X-ray of lower and sacral spine, minimum of 4 views11$432$39
Ultrasound of breasts20$415$21
X-ray of ribs of one side of body, minimum of 2 views41$409$9
Imaging for evaluation of swallowing function18$401$22
Ct scan of upper spine without contrast12$389$32
X-ray of hand, minimum of 3 views14$385$23
Limited ultrasound scan of abdomen15$345$23
Complete ultrasound scan behind abdominal cavity11$342$31
Blood creatinine level80$326$4
X-ray of pelvis, 1-2 views13$323$25
X-ray of pelvis, 1-2 views37$287$8
Limited ultrasound scan behind abdominal cavity11$255$23
Ultrasound of both sides of head and neck blood flow11$252$23
Urea nitrogen level to assess kidney function, quantitative80$244$3
Insertion of needle into vein for collection of blood sample81$242$3
X-ray of knee, 4 or more views21$222$10
Imaging of abdomen19$216$11
Computer analysis of screening mammogram to assist detection of cancer50$168$3
Injection, gadobutrol, 0.1 ml41$164$0
X-ray of knee, 1-2 views14$154$9
X-ray of abdomen, single view16$139$8
X-ray of shoulder, minimum of 2 views11$106$9
Imaging guidance for procedure, 60 minutes or less14$104$7
X-ray of spine, 1 view12$92$5
Computer analysis of diagnostic mammogram11$30$3

Medicaid work

$9,783 in 2024

Medicaid paid $9,783 for 652 billed services this clinician did in 2024, up to 37 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 MATERIAL57$4,056
Radiologic examination, chest; single view368$2,177
Computed tomography, head or brain; without contrast material66$1,737
Radiologic examination, chest; 2 views114$933
Ultrasound, abdominal, real time with image documentation; complete15$503
Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation16$274
X-RAY EXAM OF ANKLE16$103
Medicaid work by year
2024652737$9,783
2023803938$7,140
20222,0221246$6,956
20211,78721156$7,500
20201,177937$4,776
2019628633$1,319
201833116$90
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL58$3,694
Radiologic examination, chest; single view513$2,096
Computed tomography, head or brain; without contrast material30$880
Radiologic examination, chest; 2 views71$469
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh13$0
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries14$0
Set-up portable x-ray equipment52$0
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen18$0
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen34$0

2022

Largest Medicaid services in 2022
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses30$2,424
Radiologic examination, chest; single view802$2,235
Ultrasound, abdominal, real time with image documentation; complete13$1,054
Doppler velocimetry, fetal; umbilical artery12$374
Set-up portable x-ray equipment347$351
Radiologic examination, chest; 2 views145$302
X-ray of abdomen, 1 view30$217
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report106$0
Ground mileage, per statute mile171$0
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)39$0
Ambulance service, basic life support, non-emergency transport, (bls)13$0
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen314$0

2021

Largest Medicaid services in 2021
Radiologic examination, chest; single view472$2,215
Bone age studies117$1,448
Radiologic examination, chest; 2 views143$1,386
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses17$1,365
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL13$581
Computed tomography, head or brain; without contrast material38$504
Walker, folding, wheeled, adjustable or fixed height21$0
Seat attachment, walker16$0
Commode chair, mobile or stationary, with detachable arms12$0
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress14$0
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress113$0
Bed side rails, half length112$0

2020

Largest Medicaid services in 2020
Radiologic examination, chest; single view444$1,977
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses12$965
Doppler velocimetry, fetal; umbilical artery27$829
Computed tomography, head or brain; without contrast material41$487
Radiologic examination, chest; 2 views62$413
Set-up portable x-ray equipment13$104
Final reports for imaging studies without an incidentally found lesion noted205$0
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found18$0
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)355$0

2019

Largest Medicaid services in 2019
Computed tomography, head or brain; without contrast material29$462
Radiologic examination, chest; single view104$438
Radiologic examination, chest; 2 views65$420
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements171$0
Final reports for imaging studies without an incidentally found lesion noted74$0
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)185$0

2018

Largest Medicaid services in 2018
Radiologic examination, chest; single view33$90

Money from drug and device companies

$39 in 2024

Industry payments by year
202411None$39
201911None$73

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
MedtronicMinimed 780g$39
1 payment
  • Meals for Minimed 780g · 2024-01-09 · $39
See the published payment
Every published payment
MedtronicMeals · 2024-01-09Minimed 780g$39
See earlier years (2019)

2019: $73

Payments by company in 2019
Jubilant DraxImageDraximage Dtpa$73
1 payment
  • Meals for Draximage Dtpa · 2019-01-14 · $73

Professional record

NPI
1639148729
Licence
NY 224689
Group
American Diagnostics Services LLC · Radiology Affiliates of Central New Jersey PC · Golden State Imaging Associates Inc · El Camino Health Medical Network LLC · Reono Bertagnolli A Medical Group · Empire State Radiology P C
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Diagnostic radiology (2085R0202X)
Mailing address
320 Robinson Ave, C/O Orange Radiology Associates, P.C., Newburgh, NY, 12550
NPI first listed
2006-03-14
NPI last updated
2008-08-27

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