TEXOMA OUTPATIENT SURGERY CENTER, INC.
NPI: 1154322600
· WICHITA FALLS, TX 76301
· Ambulatory Surgical Clinic/Center
· NPI assigned 08/09/2005
$651.72
Total Medicaid Paid
Provider Details
| Authorized Official | KELLY, PHILLIP (PRESIDENT/MEDICAL DIRECTOR) |
| NPI Enumeration Date | 08/09/2005 |
Related Entities
Other providers sharing the same authorized official: KELLY, PHILLIP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$0.00 |
| 2019 |
14 |
$0.00 |
| 2020 |
12 |
$651.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$651.72 |
| 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 |
42 |
40 |
$0.00 |