CHEVY CHASE AMBULATORY CENTER LP
NPI: 1497733661
· GLENDALE, CA 91205
· Ambulatory Surgical Clinic/Center
· NPI assigned 01/06/2006
$1.27M
Total Medicaid Paid
Provider Details
| Authorized Official | SARKISSIAN, RAFFI (ADMINISTRATOR) |
| NPI Enumeration Date | 01/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,132 |
$156K |
| 2019 |
947 |
$76K |
| 2020 |
760 |
$50K |
| 2021 |
2,384 |
$151K |
| 2022 |
3,591 |
$207K |
| 2023 |
4,436 |
$300K |
| 2024 |
4,638 |
$328K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
|
3,752 |
3,418 |
$652K |
| 0490 |
|
5,108 |
1,279 |
$245K |
| 43239 |
|
2,815 |
2,762 |
$136K |
| 45378 |
|
1,586 |
1,549 |
$113K |
| 45380 |
|
1,112 |
1,075 |
$74K |
| 45385 |
|
1,026 |
1,011 |
$30K |
| 66982 |
|
68 |
68 |
$9K |
| 0360 |
|
29 |
28 |
$2K |
| 99199 |
|
27 |
13 |
$2K |
| V2632 |
Posterior chamber intraocular lens |
52 |
51 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
240 |
233 |
$1K |
| 0160 |
|
42 |
40 |
$845.77 |
| 0710 |
|
29 |
28 |
$309.74 |
| 0761 |
|
16 |
16 |
$285.24 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
314 |
297 |
$90.44 |
| 00811 |
|
2,474 |
2,431 |
$0.00 |
| 99152 |
|
160 |
160 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
38 |
35 |
$0.00 |