Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PACIFIC AMBULATORY SURGERY CENTER LLC

NPI: 1467459214 · ALHAMBRA, CA 91801 · Ambulatory Surgical Clinic/Center · NPI assigned 07/07/2005

$154K
Total Medicaid Paid
691
Total Claims
584
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialTSAY, CHARLIE (MEDICAL DIRECTOR)
NPI Enumeration Date07/07/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 494 $80K
2019 197 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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