MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.

NPI: 1598769481 · PASADENA, TX 77505 · Ambulatory Surgical Clinic/Center · NPI assigned 06/08/2005

$1K

Total Medicaid Paid

115

Total Claims

112

Beneficiaries

Codes Billed

2018-01

First Month

2018-04

Last Month

Provider Details

Authorized Official	CRAFTS, NICHOLAS (OFFICER, AUTHORIZED OFFICIAL)
NPI Enumeration Date	06/08/2005

Other providers sharing the same authorized official: CRAFTS, NICHOLAS

Provider	City	State	Total Paid
COMMUNITY HOSPITAL LLC	OKLAHOMA CITY	OK	$2.64M
SIOUXLAND SURGERY CENTER LIMITED LIABILITY PARTNERSHIP	DAKOTA DUNES	SD	$658K
COMMUNITY HOSPITAL LLC	OKLAHOMA CITY	OK	$439K
HPI PHYSICIANS LLC	EDMOND	OK	$208K
MEMORIAL HERMANN SURGERY CENTER SOUTHWEST LLP	HOUSTON	TX	$27K
TOPS SPECIALTY HOSPITAL, LTD.	HOUSTON	TX	$0.00
MEMORIAL HERMANN SURGERY CENTER NORTHWEST, LLP	HOUSTON	TX	$0.00
CONROE SURGERY CENTER 2, LLC	CONROE	TX	$0.00
MEMORIAL HERMANN TEXAS INTERNATIONAL ENDOSCOPY CENTER, LLC	HOUSTON	TX	$0.00
MEMORIAL HERMANN SURGERY CENTER KIRBY, LLC	HOUSTON	TX	$0.00

Year	Claims	Total Paid
2018	115	$1K

Code	Description	Claims	Beneficiaries	Total Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	13	12	$1K
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	60	59	$0.00
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	42	41	$0.00