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FOUR SEASONS SURGERY CENTERS OF ONTARIO, LP
FOUR SEASONS SURGERY CENTERS OF ONTARIO, LP
NPI: 1215019625
· ONTARIO, CA 91762
· 261QA1903X
$510K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,552 |
$510K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0360 |
|
1,363 |
1,050 |
$130K |
| 64493 |
|
368 |
211 |
$57K |
| 45378 |
|
244 |
227 |
$52K |
| 45385 |
|
144 |
135 |
$43K |
| 27096 |
|
90 |
60 |
$34K |
| 64494 |
|
337 |
197 |
$28K |
| 43239 |
|
202 |
170 |
$28K |
| 64495 |
|
330 |
196 |
$27K |
| 64490 |
|
140 |
80 |
$24K |
| 99152 |
|
810 |
513 |
$24K |
| 64492 |
|
224 |
74 |
$22K |
| 0710 |
|
1,365 |
1,050 |
$22K |
| 64491 |
|
119 |
74 |
$12K |
| 99153 |
Mod sedat endo service >5yrs |
510 |
336 |
$4K |
| 20610 |
|
84 |
44 |
$2K |
| 77002 |
|
73 |
49 |
$1K |
| G8918 |
Pt w/o preop order iv ab pro |
31 |
27 |
$0.00 |
| 99144 |
|
87 |
68 |
$0.00 |
| G8907 |
Pt doc no events on discharg |
31 |
27 |
$0.00 |