KELLY DAHLSTROM, D.O.
Neuroradiology Physician · SALT LAKE CITY, UT
Individual Active NPI 1134533417
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,402 | 1,844 | $292,366 | $107,768 | $84,056 |
| 2023 | 1,503 | 1,971 | $328,045 | $115,861 | $88,660 |
| 2022 | 1,598 | 2,107 | $458,265 | $119,482 | $90,103 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 379 | $38 | $30 |
| 70553 | Mri scan of brain before and after contrast | 242 | $104 | $81 |
| 70551 | Mri scan of brain without contrast | 127 | $67 | $52 |
| 70496 | Ct scan of blood vessels of head with contrast | 93 | $78 | $61 |
| 72125 | Ct scan of upper spine without contrast | 88 | $44 | $35 |
| 70498 | Ct scan of blood vessels of neck with contrast | 83 | $75 | $60 |
| 70491 | Ct scan of soft tissue of neck with contrast | 75 | $62 | $48 |
| 70491 | Ct scan of soft tissue of neck with contrast | 73 | $61 | $47 |
| 72082 | X-ray of entire middle and lower spine, 2-3 views | 58 | $15 | $11 |
| 70553 | Mri scan of brain before and after contrast | 54 | $103 | $73 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 52 | $12 | $10 |
| 70486 | Ct scan of face without contrast | 50 | $38 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | ✓ | 11262272-1204 | UT |
| Diagnostic Radiology Physician | 2085R0202X | 11262272-1204 | UT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.