TRI-STATE SURGERY CENTER, L.L.C.
NPI: 1275530271
· DUBUQUE, IA 52002
· Ambulatory Surgical Clinic/Center
· NPI assigned 07/05/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PERLETH, BARBARA (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 07/05/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$0.00 |
| 2019 |
16 |
$0.00 |
| 2020 |
18 |
$0.00 |
| 2021 |
67 |
$0.00 |
| 2022 |
41 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
119 |
102 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
13 |
12 |
$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 |
28 |
25 |
$0.00 |