ULTRA-X IMAGING LLC

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · PLYMOUTH, MI

Organization Active NPI 1548461601

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	2,379	11,498	$1,537,249	$839,034	$629,709
2023	3,026	15,812	$1,639,639	$1,073,369	$816,796
2022	2,180	11,560	$798,173	$699,068	$557,063

HCPCS	Description	Services	Avg allowed	Avg paid
Q0092	Set-up portable x-ray equipment	3,906	$24	$18
R0070	Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen	2,435	$221	$168
71045	X-ray of chest, 1 view	1,106	$24	$17
R0075	Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen	829	$94	$71
71046	X-ray of chest, 2 views	754	$32	$23
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	340	$14	$10
74018	X-ray of abdomen, 1 view	283	$29	$21
73502	X-ray of hip, 2-3 views	218	$45	$32
73030	X-ray of shoulder, minimum of 2 views	189	$33	$23
73560	X-ray of knee, 1-2 views	184	$33	$23
74019	X-ray of abdomen, 2 views	122	$35	$25
72100	X-ray of lower and sacral spine, 2-3 views	100	$38	$28

Specialty	Code	Primary	License	State
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	✓	—	—

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.