MONTICELLO COMMUNITY SURGERY CENTER, LLC
NPI: 1629045133
· CHARLOTTESVILLE, VA 22901
· Ambulatory Surgical Clinic/Center
· NPI assigned 03/02/2006
$329K
Total Medicaid Paid
Provider Details
| Authorized Official | WAGNER, JESSIE (ADMINISTRATOR) |
| NPI Enumeration Date | 03/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
204 |
$0.00 |
| 2021 |
61 |
$13K |
| 2022 |
320 |
$86K |
| 2023 |
522 |
$121K |
| 2024 |
617 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,023 |
829 |
$329K |
| 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 |
127 |
81 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
77 |
49 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
21 |
12 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
476 |
384 |
$0.00 |