White River Imaging, Llc

Omaha, Independent Diagnostic Testing Facility

Received $101,872 from Medicare for services in 2012

2012 reimbursement details

Service Times performed Avg. Medicare payment Total payments
Mri jnt of lwr extre w/o dye 142 $283 $40,209
Mri lumbar spine w/o dye 60 $274 $16,437
Mri brain w/o & w/dye 28 $444 $12,442
Mri joint upr extrem w/o dye 30 $269 $8,056
Mri neck spine w/o dye 20 $261 $5,218
Ct abd & pelv w/contrast 16 $253 $4,056
Mri joint of lwr extr w/dye 11 $368 $4,044
Ct thorax w/dye 12 $212 $2,541
Needle localization by xray 30 $57 $1,722
Ct head/brain w/o dye 14 $114 $1,597
Extremity study 17 $75 $1,268
Gad-base MR contrast NOS,1ml 766 $2 $1,215
Us exam abdo back wall comp 13 $76 $991
Drain/inject joint/bursa 17 $46 $785
Echo exam of abdomen 11 $66 $724
LOCM 300-399mg/ml iodine,1ml 5,427 $0 $567

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