DES PERES EYE SURGERY CENTER, LLC
NPI: 1548399561
· SAINT LOUIS, MO 63131
· Ambulatory Surgical Clinic/Center
· NPI assigned 03/05/2007
$162K
Total Medicaid Paid
Provider Details
| Authorized Official | KOFRON, MELANIE (ADMINISTRATOR) |
| NPI Enumeration Date | 03/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
286 |
$11K |
| 2019 |
245 |
$20K |
| 2020 |
47 |
$7K |
| 2021 |
190 |
$30K |
| 2022 |
223 |
$2K |
| 2023 |
372 |
$36K |
| 2024 |
244 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,248 |
986 |
$159K |
| C9447 |
Injection, phenylephrine and ketorolac, 4 ml vial |
14 |
12 |
$3K |
| 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 |
294 |
268 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
51 |
49 |
$0.00 |