MT PLEASANT SURGICAL CENTER, LLC

NPI: 1235112814 · MOUNT PLEASANT, TX 75455 · Ambulatory Surgical Clinic/Center · NPI assigned 11/28/2005

$2K

Total Medicaid Paid

239

Total Claims

164

Beneficiaries

Codes Billed

2018-03

First Month

2019-07

Last Month

Provider Details

Authorized Official	ELLISON, CHRISTIAN (CEO)
NPI Enumeration Date	11/28/2005

Other providers sharing the same authorized official: ELLISON, CHRISTIAN

Provider	City	State	Total Paid
DAY SURGERY OF GRAND JUNCTION LLC	GRAND JUNCTION	CO	$420K
ROTTMAN EYE CARE, INC	GRAND JUNCTION	CO	$360K
TOTAL VISION EYE CARE GROUP LLC	GRAND JUNCTION	CO	$356K
ASC LONE TREE LLC	ENGLEWOOD	CO	$343K
TOTAL VISION EYE CARE GROUP LLC	DENVER	CO	$272K
ARLINGTON OPHTHALMOLOGY ASSOCIATION PLLC	ARLINGTON	TX	$65K
TOTAL VISION EYE CARE GROUP, LLC	GRAND JUNCTION	CO	$9K
SWAGEL-WOOTTON EYE CENTER, INC	MESA	AZ	$376.33

Year	Claims	Total Paid
2018	95	$2K
2019	144	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	15	12	$2K
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	112	76	$0.00
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	112	76	$0.00