RUSHMORE AMBULATORY SURGERY CENTER
NPI: 1013968718
· RAPID CITY, SD 57702
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/15/2006
$4.62M
Total Medicaid Paid
Provider Details
| Authorized Official | JOBMAN, KELLI (CEO) |
| NPI Enumeration Date | 05/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,530 |
$764K |
| 2019 |
2,556 |
$795K |
| 2020 |
1,122 |
$353K |
| 2021 |
1,795 |
$569K |
| 2022 |
1,602 |
$505K |
| 2023 |
1,530 |
$434K |
| 2024 |
1,803 |
$1.20M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
5,429 |
5,273 |
$2.43M |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
6,513 |
6,192 |
$1.13M |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
996 |
920 |
$1.06M |