PACIFIC ASC LLC
NPI: 1043502792
· HONOLULU, HI 96817
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/12/2011
$684K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
174 |
$71K |
| 2019 |
158 |
$88K |
| 2020 |
51 |
$25K |
| 2021 |
160 |
$87K |
| 2022 |
244 |
$127K |
| 2023 |
237 |
$122K |
| 2024 |
264 |
$163K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,261 |
1,047 |
$680K |
| V2632 |
Posterior chamber intraocular lens |
27 |
24 |
$5K |