PREMIER ENDOSCOPY CENTER, LLC
NPI: 1659683662
· GILBERT, AZ 85295
· 261QA1903X
$118K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
561 |
$36K |
| 2019 |
601 |
$29K |
| 2020 |
356 |
$14K |
| 2021 |
374 |
$17K |
| 2023 |
29 |
$2K |
| 2024 |
174 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
385 |
257 |
$68K |
| 43239 |
|
99 |
91 |
$22K |
| 45380 |
|
88 |
76 |
$18K |
| 64493 |
|
20 |
13 |
$6K |
| 62321 |
|
15 |
12 |
$2K |
| 64494 |
|
19 |
13 |
$796.38 |
| J2250 |
Inj midazolam hydrochloride |
959 |
679 |
$395.02 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
437 |
335 |
$246.51 |
| J3010 |
Fentanyl citrate injection |
73 |
54 |
$0.00 |