PACIFIC AMBULATORY SURGERY CENTER LLC
NPI: 1467459214
· ALHAMBRA, CA 91801
· Ambulatory Surgical Clinic/Center
· NPI assigned 07/07/2005
$154K
Total Medicaid Paid
Provider Details
| Authorized Official | TSAY, CHARLIE (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 07/07/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
494 |
$80K |
| 2019 |
197 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 64493 |
|
296 |
194 |
$69K |
| 62323 |
|
297 |
296 |
$58K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
55 |
52 |
$18K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
13 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
15 |
$4K |
| 62321 |
|
14 |
14 |
$1K |