METROPOLITAN SURGICAL CENTER, LLC
NPI: 1144745951
· MAPLE GROVE, MN 55369
· 207LP2900X
$1.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,954 |
$249K |
| 2021 |
4,286 |
$286K |
| 2022 |
3,958 |
$212K |
| 2023 |
4,022 |
$325K |
| 2024 |
3,322 |
$215K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
1,542 |
1,170 |
$562K |
| 64635 |
|
426 |
348 |
$308K |
| 64493 |
|
524 |
294 |
$179K |
| G0260 |
Inj for sacroiliac jt anesth |
223 |
149 |
$53K |
| 64633 |
|
64 |
51 |
$43K |
| 62321 |
|
138 |
137 |
$40K |
| A4550 |
Surgical trays |
2,038 |
1,756 |
$31K |
| 64490 |
|
64 |
39 |
$18K |
| A4556 |
Electrodes, pair |
1,347 |
1,159 |
$17K |
| A4649 |
Surgical supplies |
1,367 |
1,170 |
$11K |
| 20610 |
|
152 |
109 |
$9K |
| S0020 |
Injection, bupivicaine hydro |
391 |
315 |
$6K |
| A4930 |
Sterile, gloves per pair |
1,704 |
1,491 |
$2K |
| A4209 |
5+ cc sterile syringe&needle |
1,829 |
1,576 |
$2K |
| A4215 |
Sterile needle |
1,869 |
1,611 |
$1K |
| A4615 |
Cannula nasal |
1,338 |
1,142 |
$1K |
| J7120 |
Ringers lactate infusion |
660 |
548 |
$825.07 |
| J1030 |
Methylprednisolone 40 mg inj |
174 |
142 |
$558.18 |
| J3301 |
Triamcinolone acet inj nos |
131 |
111 |
$104.24 |
| A4616 |
Tubing (oxygen) per foot |
1,377 |
1,174 |
$97.66 |
| J3010 |
Fentanyl citrate injection |
16 |
12 |
$16.16 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
66 |
44 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
102 |
84 |
$0.00 |