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BANNER ENTICARE TEMPE SURGERY CENTER LLC
BANNER ENTICARE TEMPE SURGERY CENTER LLC
NPI: 1437615929
· TEMPE, AZ 85282
· Ambulatory Surgical Clinic/Center
· NPI assigned 02/20/2019
Provider Details
| Authorized Official | MOSTAFAVI, HOMAN (MANAGER-MEMBER) |
| NPI Enumeration Date | 02/20/2019 |
Related Entities
Other providers sharing the same authorized official: MOSTAFAVI, HOMAN
| Provider | City | State | Total Paid |
|---|
| ENTICARE PC |
CHANDLER |
AZ |
$5.40M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$7K |
| 2022 |
27 |
$11K |
| 2023 |
54 |
$35K |
| 2024 |
41 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 30520 |
|
41 |
38 |
$23K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$22K |
| 30802 |
|
70 |
68 |
$12K |
| 64483 |
|
14 |
12 |
$3K |