Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › WILKES BARRE › PAIN CENTER OF WYOMING VALLEY, LLC

PAIN CENTER OF WYOMING VALLEY, LLC

NPI: 1629409578 · WILKES BARRE, PA 18702 · Ambulatory Surgical Clinic/Center · NPI assigned 12/03/2013

$7K
Total Medicaid Paid
456
Total Claims
401
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialRICCA, AMANDA (CEO)
NPI Enumeration Date12/03/2013

Related Entities

Other providers sharing the same authorized official: RICCA, AMANDA

ProviderCityStateTotal Paid
FORT WASHINGTON SURGERY CENTER, LLC FORT WASHINGTON PA $403K
COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS , LLC WILKES BARRE PA $84K
MODERN SPINE AND PAIN PC WEST DEPTFORD NJ $217.98

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 312 $0.00
2019 129 $0.00
2021 15 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
64635 15 12 $7K
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 220 194 $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 221 195 $0.00