OTAY LAKES SURGERY CENTER, LLC
NPI: 1376595421
· CHULA VISTA, CA 91914
· 261QA1903X
$194K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
206 |
$69K |
| 2019 |
248 |
$98K |
| 2020 |
54 |
$19K |
| 2024 |
20 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
|
227 |
227 |
$78K |
| 45378 |
|
128 |
120 |
$49K |
| 45380 |
|
88 |
88 |
$30K |
| 45385 |
|
65 |
65 |
$29K |
| 64483 |
|
20 |
12 |
$8K |