SURGERY CENTER AT PELHAM, LLC
NPI: 1538164546
· GREER, SC 29650
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/16/2005
$585K
Total Medicaid Paid
Provider Details
| Authorized Official | HAZEN, BILL (ADMINISTRATOR) |
| NPI Enumeration Date | 06/16/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
47 |
$14K |
| 2019 |
220 |
$57K |
| 2021 |
157 |
$36K |
| 2022 |
560 |
$148K |
| 2023 |
691 |
$207K |
| 2024 |
479 |
$122K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,693 |
871 |
$377K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
432 |
430 |
$199K |
| 42830 |
|
29 |
25 |
$9K |