EVERETT ROAD ASC, LLC
NPI: 1164083911
· ALBANY, NY 12205
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/24/2019
$240K
Total Medicaid Paid
Provider Details
| Authorized Official | CONGIUSTA, FRANK (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 06/24/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
107 |
$102K |
| 2024 |
178 |
$139K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
202 |
165 |
$124K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
83 |
83 |
$116K |