FOUR CORNERS AMBULATORY SURGERY CENTER, LLC
NPI: 1104990050
· FARMINGTON, NM 87401
· Ambulatory Surgical Clinic/Center
$1.72M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,207 |
$393K |
| 2019 |
1,038 |
$380K |
| 2020 |
644 |
$126K |
| 2021 |
938 |
$187K |
| 2022 |
520 |
$191K |
| 2023 |
634 |
$300K |
| 2024 |
362 |
$144K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
|
2,353 |
1,950 |
$953K |
| 42820 |
|
431 |
426 |
$631K |
| 64483 |
|
98 |
87 |
$34K |
| 69436 |
|
36 |
30 |
$22K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
31 |
29 |
$19K |
| 29881 |
|
17 |
16 |
$19K |
| 20680 |
|
20 |
12 |
$14K |
| 64450 |
|
384 |
372 |
$13K |
| 77077 |
|
316 |
290 |
$13K |
| 66982 |
|
16 |
15 |
$5K |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
12 |
12 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
555 |
488 |
$0.00 |
| 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 |
1,074 |
969 |
$0.00 |