SOUTHLAKE MRI & DIAGNOSTIC CENTER LLC
Radiology Clinic/Center · MERRILLVILLE, IN
Organization Active NPI 1134178148
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 148 | 597 | $219,054 | $31,511 | $23,773 |
| 2023 | 172 | 1,285 | $228,105 | $34,879 | $24,505 |
| 2022 | 162 | 1,659 | $228,407 | $34,869 | $26,350 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 72148 | Mri scan of lower spinal canal without contrast | 28 | $170 | $122 |
| 73721 | Mri scan of leg joint without contrast | 23 | $183 | $140 |
| 72141 | Mri scan of upper spinal canal without contrast | 15 | $160 | $118 |
| 73221 | Mri scan of arm joint without contrast | 15 | $173 | $138 |
| 70553 | Mri scan of brain before and after contrast | 14 | $299 | $225 |
| 71250 | Ct scan of chest without contrast | 13 | $90 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | ✓ | XF200740 | IN |
| Body Imaging Physician | 2085B0100X | — | — | |
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | XM017160 | IN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.