SUMMER STREET ASC LLC
NPI: 1316317134
· STAMFORD, CT 06905
· Ambulatory Surgical Clinic/Center
· NPI assigned 10/06/2015
$79.53
Total Medicaid Paid
Provider Details
| Authorized Official | VULCANO, KAREN (CHIEF ADMINISTRATIVE OFFICER) |
| NPI Enumeration Date | 10/06/2015 |
Related Entities
Other providers sharing the same authorized official: VULCANO, KAREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
17 |
$79.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
17 |
16 |
$79.53 |