RIVER ROAD SURGERY CENTER LLC
NPI: 1487620472
· SALEM, OR 97302
· Ambulatory Surgical Clinic/Center
· NPI assigned 02/28/2006
$1.87M
Total Medicaid Paid
Provider Details
| Authorized Official | HOLMES, ROCHELL (BUSINESS OFFICE SUPERVISOR) |
| NPI Enumeration Date | 02/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
553 |
$339K |
| 2019 |
772 |
$440K |
| 2020 |
340 |
$223K |
| 2022 |
71 |
$92K |
| 2023 |
276 |
$282K |
| 2024 |
466 |
$496K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
916 |
894 |
$1.43M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,432 |
720 |
$399K |
| 30140 |
|
118 |
55 |
$34K |
| 42830 |
|
12 |
12 |
$13K |