RIVERVIEW SURGERY CENTER LLC
NPI: 1669748125
· ROCKPORT, IN 47635
· Ambulatory Surgical Clinic/Center
· NPI assigned 03/29/2012
$372K
Total Medicaid Paid
Provider Details
| Authorized Official | BOLES, SHANE (MD) |
| NPI Enumeration Date | 03/29/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
300 |
$68K |
| 2019 |
235 |
$39K |
| 2020 |
35 |
$10K |
| 2021 |
16 |
$0.00 |
| 2022 |
243 |
$61K |
| 2023 |
544 |
$138K |
| 2024 |
144 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,030 |
421 |
$268K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
55 |
36 |
$76K |
| L8699 |
Prosthetic implant, not otherwise specified |
432 |
313 |
$28K |