SWEETWATER SURGERY CENTER LLC
NPI: 1336144617
· ROCK SPRINGS, WY 82901
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/14/2005
$212K
Total Medicaid Paid
Provider Details
| Authorized Official | JENSEN, PETER (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 06/14/2005 |
Related Entities
Other providers sharing the same authorized official: JENSEN, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12 |
$18K |
| 2020 |
26 |
$37K |
| 2021 |
24 |
$14K |
| 2022 |
68 |
$84K |
| 2023 |
41 |
$32K |
| 2024 |
28 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
131 |
112 |
$183K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
68 |
64 |
$29K |