PIVAC ASC LLC
NPI: 1679010417
· CULVER CITY, CA 90230
· Ambulatory Surgical Clinic/Center
· NPI assigned 01/31/2017
$162K
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, SPENCER (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 01/31/2017 |
Related Entities
Other providers sharing the same authorized official: BROWN, SPENCER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
57 |
$44K |
| 2023 |
77 |
$42K |
| 2024 |
420 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 36902 |
|
554 |
550 |
$162K |