Treatment Tracker

The Doctors and Services in Medicare Part B

INSTITUTE OF DIAGNOSTIC IMAGING, LLC

2829 SOUTH UNIVERSITY DRIVE SUITE 102, FARGO, ND, 58103 | (701) 234-0112

Ambulatory Health Care Facilities, Radiology

See other providers with this specialty in North Dakota »

This Provider: At A Glance

Number of
Patients
1,056
Services
Performed
7,454
Avg Services
Per Patient
7.1
Total Paid
by Medicare
$110K
Avg Paid
Per Patient
$105

This Provider's Services

This provider performed 111 different services in 2015
(77 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
drug
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
5,349
times performed,
72% of services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

67
patients got this service, 6% of patients
1
average number of visits a patient made for this service
$4,279.20an average of $0.80 per time performed $641.88
an average of $0.12 per time performed
medical
RADIOLOGY

Computer analysis of screening mammogram to assist detect... +

Computer analysis of screening mammogram to assist detection of cancer ×

Service Code: 77052
Performed in an office
362
times performed,
5% of services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

362
patients got this service, 34% of patients
1
average number of visits a patient made for this service
$10,498.00an average of $29.00 per time performed $1,980.14
an average of $5.47 per time performed
medical
PROCEDURES

Screening mammography, producing direct digital image, bi... +

Screening mammography, producing direct digital image, bilateral, all views ×

Service Code: G0202
Performed in an office
362
times performed,
5% of services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

362
patients got this service, 34% of patients
1
average number of visits a patient made for this service
$73,848.00an average of $204.00 per time performed $35,305.86
an average of $97.53 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
123
times performed,
2% of services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

92
patients got this service, 9% of patients
1.1
average number of visits a patient made for this service
$7,872.00an average of $64.00 per time performed $2,218.92
an average of $18.04 per time performed
medical
RADIOLOGY

X-ray of hip on one side of body, 1 view

Service Code: 73500
Performed in an office
114
times performed,
2% of services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

102
patients got this service, 10% of patients
1.1
average number of visits a patient made for this service
$6,042.00an average of $53.00 per time performed $1,451.22
an average of $12.73 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
108
times performed,
1% of services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

102
patients got this service, 10% of patients
1.1
average number of visits a patient made for this service
$5,508.00an average of $51.00 per time performed $1,458.00
an average of $13.50 per time performed
medical
RADIOLOGY

Mri scan of lower spinal canal

Service Code: 72148
Performed in an office
99
times performed,
1% of services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

99
patients got this service, 9% of patients
1
average number of visits a patient made for this service
$93,357.00an average of $943.00 per time performed $10,019.79
an average of $101.21 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
75
times performed,
1% of services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

63
patients got this service, 6% of patients
1.1
average number of visits a patient made for this service
$4,350.00an average of $58.00 per time performed $1,079.25
an average of $14.39 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
58
times performed,
0.78% of services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

53
patients got this service, 5% of patients
1
average number of visits a patient made for this service
$2,900.00an average of $50.00 per time performed $875.22
an average of $15.09 per time performed
medical
RADIOLOGY

X-ray of both knees, standing, front to back view

Service Code: 73565
Performed in an office
51
times performed,
0.68% of services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

51
patients got this service, 5% of patients
1
average number of visits a patient made for this service
$2,805.00an average of $55.00 per time performed $908.82
an average of $17.82 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
48
times performed,
0.64% of services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

43
patients got this service, 4% of patients
1.1
average number of visits a patient made for this service
$2,544.00an average of $53.00 per time performed $516.96
an average of $10.77 per time performed
medical
RADIOLOGY

Mri scan of upper spinal canal

Service Code: 72141
Performed in an office
36
times performed,
0.48% of services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

35
patients got this service, 3% of patients
1
average number of visits a patient made for this service
$33,948.00an average of $943.00 per time performed $4,027.68
an average of $111.88 per time performed
medical
RADIOLOGY

Mri scan of brain before and after contrast

Service Code: 70553
Performed in an office
35
times performed,
0.47% of services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

33
patients got this service, 3% of patients
1
average number of visits a patient made for this service
$69,825.00an average of $1,995.00 per time performed $6,497.75
an average of $185.65 per time performed
medical
RADIOLOGY

Ct scan of abdomen and pelvis with contrast

Service Code: 74177
Performed in an office
29
times performed,
0.39% of services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

29
patients got this service, 3% of patients
1
average number of visits a patient made for this service
$17,400.00an average of $600.00 per time performed $4,877.51
an average of $168.19 per time performed
medical
RADIOLOGY

Mri scan of arm joint

Service Code: 73221
Performed in an office
24
times performed,
0.32% of services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

23
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$22,632.00an average of $943.00 per time performed $2,834.88
an average of $118.12 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
24
times performed,
0.32% of services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

23
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$1,392.00an average of $58.00 per time performed $380.88
an average of $15.87 per time performed
medical
RADIOLOGY

Mri scan of leg joint

Service Code: 73721
Performed in an office
23
times performed,
0.31% of services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

21
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$21,689.00an average of $943.00 per time performed $2,641.32
an average of $114.84 per time performed
medical
RADIOLOGY

X-ray of wrist, minimum of 3 views

Service Code: 73110
Performed in an office
23
times performed,
0.31% of services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

19
patients got this service, 2% of patients
1.1
average number of visits a patient made for this service
$1,380.00an average of $60.00 per time performed $388.24
an average of $16.88 per time performed
medical
RADIOLOGY

Ct scan of abdomen and pelvis

Service Code: 74176
Performed in an office
18
times performed,
0.24% of services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

18
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$7,200.00an average of $400.00 per time performed $1,391.04
an average of $77.28 per time performed
medical
RADIOLOGY

Computer analysis of diagnostic mammogram

Service Code: 77051
Performed in an office
18
times performed,
0.24% of services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

18
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$522.00an average of $29.00 per time performed $78.84
an average of $4.38 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
18
times performed,
0.24% of services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

16
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$1,062.00an average of $59.00 per time performed $362.16
an average of $20.12 per time performed
medical
RADIOLOGY

Ultrasound behind abdominal cavity

Service Code: 76770
Performed in an office
17
times performed,
0.23% of services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

17
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$3,400.00an average of $200.00 per time performed $898.96
an average of $52.88 per time performed
medical
RADIOLOGY

Ultrasound of pelvis

Service Code: 76856
Performed in an office
17
times performed,
0.23% of services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

16
patients got this service, 2% of patients
1.1
average number of visits a patient made for this service
$3,145.00an average of $185.00 per time performed $801.38
an average of $47.14 per time performed
medical
RADIOLOGY

Ultrasound of abdomen

Service Code: 76700
Performed in an office
16
times performed,
0.21% of services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

16
patients got this service, 2% of patients
1
average number of visits a patient made for this service
$3,200.00an average of $200.00 per time performed $878.08
an average of $54.88 per time performed
medical
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
15
times performed,
0.2% of services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

15
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$6,750.00an average of $450.00 per time performed $1,729.95
an average of $115.33 per time performed
medical
RADIOLOGY

Mri scan of middle spinal canal

Service Code: 72146
Performed in an office
14
times performed,
0.19% of services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

14
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$13,202.00an average of $943.00 per time performed $1,507.52
an average of $107.68 per time performed
medical
MEDICINE

Ultrasound scan of veins of one arm or leg or limited inc... +

Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers ×

Service Code: 93971
Performed in an office
14
times performed,
0.19% of services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

14
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$3,850.00an average of $275.00 per time performed $1,063.44
an average of $75.96 per time performed
medical
RADIOLOGY

X-ray lower and sacral spine including bending views mini... +

X-ray lower and sacral spine including bending views minimum 6 views ×

Service Code: 72114
Performed in an office
13
times performed,
0.17% of services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

13
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$1,313.00an average of $101.00 per time performed $335.79
an average of $25.83 per time performed
medical
RADIOLOGY

X-ray of fingers, minimum of 2 views

Service Code: 73140
Performed in an office
13
times performed,
0.17% of services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

12
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$780.00an average of $60.00 per time performed $225.16
an average of $17.32 per time performed
medical
RADIOLOGY

Ultrasound pelvis through vagina

Service Code: 76830
Performed in an office
13
times performed,
0.17% of services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

12
patients got this service, 1% of patients
1.1
average number of visits a patient made for this service
$2,405.00an average of $185.00 per time performed $896.87
an average of $68.99 per time performed
medical
RADIOLOGY

Ct scan chest

Service Code: 71250
Performed in an office
13
times performed,
0.17% of services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

11
patients got this service, 1% of patients
1.2
average number of visits a patient made for this service
$5,837.00an average of $449.00 per time performed $1,178.19
an average of $90.63 per time performed
medical

Ultrasound of one breast

Service Code: 76642
Performed in an office
12
times performed,
0.16% of services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

12
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$1,716.00an average of $143.00 per time performed $539.76
an average of $44.98 per time performed
medical
RADIOLOGY

Ultrasound of head and neck

Service Code: 76536
Performed in an office
11
times performed,
0.15% of services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

11
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$2,035.00an average of $185.00 per time performed $628.10
an average of $57.10 per time performed
medical
PROCEDURES

Diagnostic mammography, producing direct 2-d digital imag... +

Diagnostic mammography, producing direct 2-d digital image, bilateral, all view ×

Service Code: G0204
Performed in an office
11
times performed,
0.15% of services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in ND perform this service

11
patients got this service, 1% of patients
1
average number of visits a patient made for this service
$2,464.00an average of $224.00 per time performed $931.04
an average of $84.64 per time performed

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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