PET IMAGING OF SAN JOSE, LLC
Preferred Provider Organization · SAN JOSE, CA
Organization Active NPI 1477693513
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 135 | 443 | $1,197,600 | $584,318 | $465,121 |
| 2023 | 85 | 260 | $671,900 | $327,913 | $261,028 |
| 2022 | 60 | 169 | $368,460 | $154,581 | $123,271 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 185 | $1,054 | $840 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 96 | $2,252 | $1,793 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 61 | $353 | $281 |
| 78814 | Nuclear medicine study limited area with ct scan | 19 | $2,237 | $1,782 |
| Q9983 | Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries | 19 | $3,467 | $2,762 |
| 71250 | Ct scan of chest without contrast | 13 | $177 | $130 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | ✓ | 6846-43 | CA |
| Radiology Clinic/Center | 261QR0200X | — | — |
Other Preferred Provider Organization providers in California
- NPI 1922455575
- NPI 1588782205
- NPI 1902839053
- NPI 1427469287
- NPI 1609297878
- NPI 1679931521
- NPI 1134520943
- NPI 1417128638
See all Preferred Provider Organization providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.