JACLYN ANDRICK, M.D.
Diagnostic Radiology Physician · WEST DES MOINES, IA
Individual Active NPI 1740662857
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,336 | 16,931 | $1,809,426 | $434,806 | $387,713 |
| 2023 | 1,711 | 17,608 | $1,255,471 | $317,089 | $275,524 |
| 2022 | 1,497 | 9,412 | $740,453 | $197,314 | $170,119 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 7,344 | $0 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 5,005 | $0 | $0 |
| 77067 | Screening mammography | 1,523 | $116 | $116 |
| 77063 | Screening 3d breast mammography | 1,443 | $48 | $48 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 263 | $44 | $33 |
| 77065 | Diagnostic mammography of 1 breast | 194 | $114 | $79 |
| 76642 | Limited ultrasound scan of 1 breast | 188 | $80 | $58 |
| 77066 | Diagnostic mammography of both breasts | 90 | $144 | $103 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 86 | $35 | $35 |
| 71250 | Ct scan of chest without contrast | 54 | $120 | $88 |
| 71046 | X-ray of chest, 2 views | 52 | $31 | $21 |
| 72148 | Mri scan of lower spinal canal without contrast | 36 | $179 | $134 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ✓ | MD-47354 | IA |
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.