NEW CEDAR LAKE SURGERY CENTER, LLC
NPI: 1295820249
· BILOXI, MS 39532
· Ambulatory Surgical Clinic/Center
· NPI assigned 10/04/2006
$254K
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, CHARLES (OWNER AND DIRECTOR) |
| NPI Enumeration Date | 10/04/2006 |
Related Entities
Other providers sharing the same authorized official: WILSON, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
747 |
$119K |
| 2019 |
352 |
$136K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
323 |
203 |
$119K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
53 |
53 |
$80K |
| 42830 |
|
48 |
42 |
$27K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
222 |
155 |
$26K |
| 62323 |
|
14 |
13 |
$1K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
164 |
150 |
$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 |
275 |
250 |
$0.00 |