IOWA CITY AMBULATORY SURGICAL CENTER, LLC
NPI: 1255500781
· IOWA CITY, IA 52245
· 261QA1903X
$438K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
225 |
$95K |
| 2019 |
203 |
$75K |
| 2020 |
94 |
$45K |
| 2021 |
84 |
$32K |
| 2022 |
115 |
$68K |
| 2023 |
134 |
$71K |
| 2024 |
90 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
|
836 |
648 |
$392K |
| 42820 |
|
81 |
77 |
$46K |
| L8699 |
Prosthetic implant nos |
28 |
26 |
$0.00 |