EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC
NPI: 1598068306
· FORT SMITH, AR 72903
· Ambulatory Surgical Clinic/Center
· NPI assigned 12/16/2010
$296K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
246 |
$37K |
| 2019 |
111 |
$17K |
| 2020 |
137 |
$25K |
| 2021 |
130 |
$40K |
| 2022 |
219 |
$58K |
| 2023 |
290 |
$77K |
| 2024 |
155 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
960 |
740 |
$249K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
134 |
133 |
$48K |
| 69990 |
|
158 |
156 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
18 |
15 |
$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 |
18 |
15 |
$0.00 |