MOUNTAIN LAUREL SURGERY CENTER, LLC
NPI: 1518916758
· HONESDALE, PA 18431
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/07/2006
$446K
Total Medicaid Paid
Provider Details
| Authorized Official | REYNOLDS, DAVID (PRESIDENT) |
| NPI Enumeration Date | 05/07/2006 |
Related Entities
Other providers sharing the same authorized official: REYNOLDS, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
370 |
$1K |
| 2019 |
88 |
$0.00 |
| 2020 |
150 |
$45K |
| 2021 |
554 |
$158K |
| 2022 |
422 |
$108K |
| 2023 |
381 |
$101K |
| 2024 |
123 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,401 |
1,358 |
$340K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
215 |
206 |
$87K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
74 |
73 |
$19K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
199 |
173 |
$0.00 |
| 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 |
199 |
173 |
$0.00 |