PACIFIC ENDOSCOPY AND SURGERY CENTER, LLC
NPI: 1104006006
· FOUNTAIN VALLEY, CA 92708
· 261QA1903X
$1.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,750 |
$357K |
| 2019 |
1,657 |
$322K |
| 2020 |
1,047 |
$166K |
| 2021 |
843 |
$105K |
| 2022 |
472 |
$31K |
| 2023 |
323 |
$24K |
| 2024 |
12 |
$3.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 45385 |
|
1,403 |
1,383 |
$331K |
| 43239 |
|
2,065 |
2,046 |
$261K |
| 45380 |
|
1,682 |
1,660 |
$209K |
| 45378 |
|
1,146 |
1,134 |
$205K |
| G8918 |
Pt w/o preop order iv ab pro |
406 |
397 |
$0.02 |
| G8907 |
Pt doc no events on discharg |
402 |
395 |
$0.00 |
| 0490 |
|
1,000 |
291 |
$0.00 |