MONTEREY PENINSULA SURGERY CENTER LLC
NPI: 1407116361
· CAPITOLA, CA 95010
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/24/2012
$3.40M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MILLSAP, CARRIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,511 |
$655K |
| 2019 |
904 |
$504K |
| 2020 |
563 |
$300K |
| 2021 |
1,042 |
$647K |
| 2022 |
654 |
$396K |
| 2023 |
689 |
$404K |
| 2024 |
825 |
$491K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64493 |
|
1,412 |
679 |
$875K |
| 64490 |
|
984 |
466 |
$612K |
| 64494 |
|
941 |
447 |
$449K |
| 64635 |
|
590 |
299 |
$320K |
| 64491 |
|
543 |
256 |
$260K |
| 27096 |
|
372 |
226 |
$200K |
| 64483 |
|
201 |
192 |
$147K |
| 64633 |
|
214 |
104 |
$134K |
| 64492 |
|
266 |
127 |
$127K |
| 64634 |
|
202 |
50 |
$100K |
| 64636 |
|
186 |
93 |
$89K |
| 64484 |
|
68 |
64 |
$29K |
| 62321 |
|
26 |
25 |
$23K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
12 |
12 |
$23K |
| 62323 |
|
13 |
13 |
$9K |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
81 |
72 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
77 |
68 |
$0.00 |