SAN GABRIEL AMBULATORY SURGERY CENTER, LP
NPI: 1336213099
· ARCADIA, CA 91006
· Ambulatory Surgical Clinic/Center
· NPI assigned 11/17/2006
$841K
Total Medicaid Paid
Provider Details
| Authorized Official | CHANG, TOM (OWNER) |
| NPI Enumeration Date | 11/17/2006 |
Related Entities
Other providers sharing the same authorized official: CHANG, TOM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
180 |
$54K |
| 2019 |
109 |
$44K |
| 2020 |
162 |
$55K |
| 2021 |
308 |
$82K |
| 2022 |
209 |
$124K |
| 2023 |
391 |
$258K |
| 2024 |
314 |
$224K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,384 |
1,298 |
$819K |
| 62323 |
|
182 |
181 |
$18K |
| 64493 |
|
63 |
42 |
$3K |
| 0490 |
|
44 |
12 |
$0.00 |