EXECUTIVE SURGERY CENTER OF LITTLE ROCK, LLC
NPI: 1386177376
· LITTLE ROCK, AR 72211
· Ambulatory Surgical Clinic/Center
· NPI assigned 04/06/2017
$798K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, BRITNEY (ADMINISTRATOR) |
| NPI Enumeration Date | 04/06/2017 |
Related Entities
Other providers sharing the same authorized official: SMITH, BRITNEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
113 |
$8K |
| 2019 |
494 |
$138K |
| 2020 |
484 |
$132K |
| 2021 |
400 |
$88K |
| 2022 |
645 |
$223K |
| 2023 |
409 |
$134K |
| 2024 |
569 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64635 |
|
2,507 |
1,660 |
$749K |
| 64493 |
|
210 |
129 |
$42K |
| 64633 |
|
14 |
12 |
$6K |
| 64636 |
|
383 |
163 |
$0.00 |