SURGICARE CENTER OF IDAHO, LLC
NPI: 1114923471
· BOISE, ID 83706
· Ophthalmologic Surgery Clinic/Center
· NPI assigned 06/22/2005
$209K
Total Medicaid Paid
Provider Details
| Authorized Official | PENNOW, LOUIS (DIRECTOR) |
| NPI Enumeration Date | 06/22/2005 |
Related Entities
Other providers sharing the same authorized official: PENNOW, LOUIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
281 |
$16K |
| 2019 |
457 |
$35K |
| 2020 |
283 |
$56K |
| 2021 |
280 |
$42K |
| 2022 |
266 |
$51K |
| 2023 |
37 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
782 |
557 |
$206K |
| 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 |
127 |
80 |
$1K |
| V2632 |
Posterior chamber intraocular lens |
695 |
489 |
$1K |