LAKEVIEW SURGERY CENTER LC
NPI: 1003807835
· WEST DES MOINES, IA 50266
· Ambulatory Surgical Clinic/Center
· NPI assigned 11/01/2005
$2.46M
Total Medicaid Paid
Provider Details
| Authorized Official | MOHAN, MICHAEL (BOARD CHAIR) |
| NPI Enumeration Date | 11/01/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
781 |
$271K |
| 2019 |
823 |
$307K |
| 2020 |
423 |
$203K |
| 2021 |
432 |
$217K |
| 2022 |
1,081 |
$535K |
| 2023 |
1,179 |
$613K |
| 2024 |
627 |
$308K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
3,518 |
2,749 |
$1.70M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
812 |
781 |
$454K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
920 |
791 |
$268K |
| 42830 |
|
56 |
55 |
$23K |
| 30140 |
|
28 |
24 |
$11K |
| 30520 |
|
12 |
12 |
$3K |