PISA ASC HOLDCO LLC
NPI: 1174185649
· TUCSON, AZ 85712
· Ambulatory Surgical Clinic/Center
· NPI assigned 07/03/2019
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | TURK, GREG (DIRECTOR/OFFICER) |
| NPI Enumeration Date | 07/03/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
436 |
$68K |
| 2022 |
491 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 62323 |
|
306 |
294 |
$44K |
| 64483 |
|
281 |
185 |
$37K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
147 |
95 |
$25K |
| 64493 |
|
139 |
72 |
$23K |
| 64635 |
|
37 |
14 |
$8K |
| 64490 |
|
17 |
12 |
$2K |