SAME DAY SURGERY CENTER LLC
NPI: 1407819253
· RAPID CITY, SD 57701
· 284300000X
$201K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
748 |
$585.69 |
| 2019 |
115 |
$16K |
| 2020 |
60 |
$4K |
| 2021 |
137 |
$29K |
| 2022 |
114 |
$21K |
| 2023 |
232 |
$66K |
| 2024 |
256 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
596 |
553 |
$109K |
| G0330 |
Facility svs dental rehab |
325 |
188 |
$79K |
| 69436 |
|
28 |
25 |
$12K |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$1K |
| J7121 |
5% dextrose in lac ringers |
13 |
13 |
$334.68 |
| J2405 |
Ondansetron hcl injection |
113 |
66 |
$0.00 |
| A9270 |
Non-covered item or service |
212 |
122 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
102 |
69 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
176 |
84 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
45 |
41 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
28 |
12 |
$0.00 |
| 42820 |
|
12 |
12 |
$0.00 |