THE SURGERY CENTER AT LONE TREE, LLC
NPI: 1386795540
· LONE TREE, CO 80124
· 261QA1903X
$705K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,502 |
$91K |
| 2019 |
2,382 |
$106K |
| 2020 |
1,075 |
$90K |
| 2021 |
2,039 |
$119K |
| 2022 |
1,937 |
$143K |
| 2023 |
1,510 |
$108K |
| 2024 |
644 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
3,884 |
2,145 |
$478K |
| 64493 |
|
641 |
315 |
$80K |
| 62321 |
|
361 |
332 |
$79K |
| 64484 |
|
3,246 |
1,781 |
$38K |
| 64490 |
|
186 |
86 |
$22K |
| 64635 |
|
39 |
26 |
$7K |
| 64494 |
|
419 |
199 |
$541.08 |
| J3301 |
Triamcinolone acet inj nos |
270 |
253 |
$0.00 |
| 64491 |
|
142 |
67 |
$0.00 |
| 64495 |
|
209 |
98 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
72 |
58 |
$0.00 |
| 64636 |
|
75 |
26 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
949 |
746 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
724 |
577 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
872 |
698 |
$0.00 |