Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INOVA AMBULATORY SURGERY CENTER AT LORTON, LLC

NPI: 1659793891 · LORTON, VA 22079 · Ambulatory Surgical Clinic/Center · NPI assigned 01/07/2014

$6K
Total Medicaid Paid
87
Total Claims
66
Beneficiaries
3
Codes Billed
2018-10
First Month
2019-06
Last Month

Provider Details

Authorized OfficialSIVASLIAN, ARTUR (VICE-PRESIDENT AMBULATORY SURGERY)
NPI Enumeration Date01/07/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34 $0.00
2019 53 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 53 42 $6K
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 17 12 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 17 12 $0.00