THREE GABLES SURGERY CENTER LLC
NPI: 1124083878
· PROCTORVILLE, OH 45669
· Ambulatory Surgical Clinic/Center
· NPI assigned 04/18/2006
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | COX, VIRGINIA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
33 |
$11K |
| 2020 |
33 |
$19K |
| 2021 |
63 |
$27K |
| 2022 |
20 |
$5K |
| 2023 |
134 |
$37K |
| 2024 |
92 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
240 |
152 |
$68K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
135 |
96 |
$66K |