JASON H CLARK & SANDRA J CLARK

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · WATER VALLEY, MS

Organization Active NPI 1912185927

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	538	2,922	$276,415	$186,672	$144,500
2023	405	2,278	$228,081	$138,416	$106,552
2022	332	1,851	$183,395	$109,720	$80,617

HCPCS	Description	Services	Avg allowed	Avg paid
Q0092	Set-up portable x-ray equipment	1,036	$22	$17
R0070	Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen	649	$184	$142
71045	X-ray of chest, 1 view	438	$22	$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	193	$81	$64
73502	X-ray of hip, 2-3 views	125	$41	$31
74018	X-ray of abdomen, 1 view	58	$26	$20
72100	X-ray of lower and sacral spine, 2-3 views	56	$34	$27
73630	X-ray of foot, minimum of 3 views	49	$29	$23
73560	X-ray of knee, 1-2 views	49	$29	$22
73030	X-ray of shoulder, minimum of 2 views	47	$30	$22
73130	X-ray of hand, minimum of 3 views	31	$32	$25
73110	X-ray of wrist, minimum of 3 views	26	$35	$28

Specialty	Code	Primary	License	State
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	✓	MRT2279	MS

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