ROOSEVELT SURGERY CENTER, LLC
NPI: 1598039125
· NEW YORK, NY 10019
· 261QA1903X
$938K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
96 |
$63K |
| 2021 |
138 |
$92K |
| 2022 |
233 |
$158K |
| 2023 |
470 |
$324K |
| 2024 |
515 |
$301K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
|
722 |
639 |
$621K |
| 42820 |
|
180 |
179 |
$187K |
| 42830 |
|
122 |
122 |
$122K |
| 66984 |
|
12 |
12 |
$8K |
| L8699 |
Prosthetic implant nos |
96 |
95 |
$1.67 |
| C1889 |
Implant/insert device, noc |
320 |
319 |
$0.00 |