SOUTHERN INDIANA SURGERY CENTER, LLC
NPI: 1083796221
· BLOOMINGTON, IN 47403
· Ambulatory Surgical Clinic/Center
· NPI assigned 10/19/2006
$516K
Total Medicaid Paid
Provider Details
| Authorized Official | SCALES, MISTY (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 10/19/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
59 |
$9K |
| 2019 |
149 |
$59K |
| 2020 |
39 |
$18K |
| 2021 |
61 |
$31K |
| 2022 |
241 |
$102K |
| 2023 |
423 |
$185K |
| 2024 |
338 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,116 |
819 |
$481K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
34 |
27 |
$21K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
26 |
26 |
$13K |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
56 |
52 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
78 |
58 |
$0.00 |