DODGE CITY DIAGNOSTIC, LLC

Specialist · DODGE CITY, KS

Organization Active NPI 1689699613

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	334	400	$627,609	$73,899	$53,200
2023	403	502	$787,690	$94,966	$67,462
2022	363	475	$741,976	$89,044	$62,846

HCPCS	Description	Services	Avg allowed	Avg paid
72148	Mri scan of lower spinal canal without contrast	135	$178	$123
73721	Mri scan of leg joint without contrast	107	$189	$134
73221	Mri scan of arm joint without contrast	65	$187	$140
72141	Mri scan of upper spinal canal without contrast	37	$176	$129
70551	Mri scan of brain without contrast	24	$177	$141
72146	Mri scan of middle spinal canal without contrast	12	$173	$121

Specialty	Code	Primary	License	State
Specialist	174400000X	✓	—	—

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