Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HABANA AMBULATORY SURGERY CENTER LLC

NPI: 1578917035 · TAMPA, FL 33614 · General Acute Care Hospital · NPI assigned 04/20/2016

$26K
Total Medicaid Paid
801
Total Claims
416
Beneficiaries
9
Codes Billed
2018-08
First Month
2020-08
Last Month

Provider Details

Authorized OfficialHELMS, JOSHUA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date04/20/2016

Related Entities

Other providers sharing the same authorized official: HELMS, JOSHUA

ProviderCityStateTotal Paid
ARMENIA AMBULATORY SURGICAL CENTER, LLC TAMPA FL $520K
ORLANDO OUTPATIENT SURGERY CENTER LLC ORLANDO FL $98K
PARK AMBULATORY SURGERY CENTER, LLC PLANO TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 140 $1K
2019 377 $23K
2020 284 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 30 27 $22K
64493 204 68 $4K
64494 86 27 $0.00
64635 37 26 $0.00
64495 85 26 $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 207 125 $0.00
A4550 Surgical trays 104 90 $0.00
64636 32 13 $0.00
A4649 Surgical supply; miscellaneous 16 14 $0.00