MONTICELLO DIAGNOSTIC IMAGING LP
Diagnostic Radiology Physician · FT WORTH, TX
Organization Active NPI 1033160015
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,667 | 15,951 | $7,267,000 | $368,291 | $283,451 |
| 2023 | 613 | 2,718 | $1,186,459 | $99,437 | $75,043 |
| 2022 | 221 | 485 | $415,332 | $32,672 | $25,169 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 8,449 | $0 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 4,192 | $0 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 512 | $0 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 253 | $191 | $147 |
| 73721 | Mri scan of leg joint without contrast | 228 | $199 | $151 |
| 71046 | X-ray of chest, 2 views | 216 | $33 | $25 |
| 73221 | Mri scan of arm joint without contrast | 177 | $200 | $151 |
| 72141 | Mri scan of upper spinal canal without contrast | 143 | $189 | $145 |
| 70551 | Mri scan of brain without contrast | 141 | $198 | $154 |
| 73130 | X-ray of hand, minimum of 3 views | 126 | $37 | $28 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 97 | $39 | $30 |
| 73502 | X-ray of hip, 2-3 views | 80 | $46 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ✓ | — | — |
| Physiological Laboratory | 293D00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.