VANTAGE OPEN MRI LLC

Magnetic Resonance Imaging (MRI) Clinic/Center · OKLAHOMA CITY, OK

Organization Active NPI 1942239702

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202476620,317$3,821,318$762,109$600,689
202374522,276$2,315,510$200,510$152,975
202271915,759$1,078,531$119,089$86,789

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
A9575Injection, gadoterate meglumine, 0.1 ml15,846$0$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml3,092$0$0
A9595Piflufolastat f-18, diagnostic, 1 millicurie207$571$455
72148Mri scan of lower spinal canal without contrast200$107$81
78815Nuclear medicine study from skull base to mid-thigh with ct scan188$1,430$1,136
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries181$143$114
72141Mri scan of upper spinal canal without contrast79$97$71
70551Mri scan of brain without contrast73$115$79
70553Mri scan of brain before and after contrast71$193$143
73721Mri scan of leg joint without contrast68$119$91
73221Mri scan of arm joint without contrast66$120$81
Q9983Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries55$2,947$2,348

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Magnetic Resonance Imaging (MRI) Clinic/Center261QM1200XOK

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