PHYSICIANS SURGICAL CENTER LLC
NPI: 1073570552
· MOORE, OK 73160
· Ambulatory Surgical Clinic/Center
· NPI assigned 04/27/2006
$2.69M
Total Medicaid Paid
Provider Details
| Authorized Official | WALLACE, RHONDA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
350 |
$351K |
| 2019 |
291 |
$379K |
| 2020 |
143 |
$163K |
| 2021 |
186 |
$121K |
| 2022 |
417 |
$352K |
| 2023 |
775 |
$758K |
| 2024 |
527 |
$563K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,192 |
1,192 |
$2.24M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,447 |
748 |
$428K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
50 |
40 |
$23K |