TELLICA IMAGING, LLC
Physiological Laboratory · OGDEN, UT
Organization Active NPI 1144802802
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 3,296 | 4,486 | $1,992,000 | $874,613 | $640,133 |
| 2023 | 2,102 | 2,583 | $1,161,050 | $519,427 | $400,651 |
| 2022 | 475 | 554 | $252,700 | $114,190 | $89,478 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 71250 | Ct scan of chest without contrast | 632 | $125 | $91 |
| 72148 | Mri scan of lower spinal canal without contrast | 622 | $180 | $129 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 454 | $288 | $215 |
| 71260 | Ct scan of chest with contrast | 332 | $132 | $99 |
| 73721 | Mri scan of leg joint without contrast | 256 | $191 | $136 |
| 70553 | Mri scan of brain before and after contrast | 244 | $296 | $224 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 234 | $175 | $126 |
| 73221 | Mri scan of arm joint without contrast | 231 | $192 | $138 |
| 72141 | Mri scan of upper spinal canal without contrast | 217 | $169 | $122 |
| 70551 | Mri scan of brain without contrast | 152 | $187 | $134 |
| 70450 | Ct scan head or brain without contrast | 85 | $99 | $72 |
| 74183 | Mri scan of abdomen before and after contrast | 77 | $323 | $237 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | ✓ | — | — |
| Radiology Clinic/Center | 261QR0200X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.