FAYETTEVILLE AMBULATORY SURGERY CENTER LLC
NPI: 1700843208
· FAYETTEVILLE, NC 28304
· 261QA1903X
$2.16M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,346 |
$366K |
| 2019 |
2,024 |
$388K |
| 2020 |
1,295 |
$193K |
| 2021 |
1,982 |
$216K |
| 2022 |
1,873 |
$213K |
| 2023 |
2,105 |
$429K |
| 2024 |
1,679 |
$354K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
|
2,250 |
1,386 |
$909K |
| 66984 |
|
3,141 |
1,775 |
$597K |
| 42820 |
|
1,310 |
1,106 |
$539K |
| 42830 |
|
198 |
158 |
$71K |
| 64721 |
|
146 |
115 |
$30K |
| L8699 |
Prosthetic implant nos |
2,826 |
1,335 |
$7K |
| V2632 |
Post chmbr intraocular lens |
674 |
443 |
$2K |
| 64415 |
|
217 |
151 |
$2K |
| V2630 |
Anter chamber intraocul lens |
894 |
678 |
$2K |
| 64450 |
|
154 |
82 |
$779.91 |
| C1889 |
Implant/insert device, noc |
665 |
459 |
$507.50 |
| 64447 |
|
19 |
12 |
$306.76 |
| 64445 |
|
74 |
40 |
$0.00 |
| 76942 |
|
796 |
562 |
$0.00 |
| G8918 |
Pt w/o preop order iv ab pro |
443 |
344 |
$0.00 |
| G8907 |
Pt doc no events on discharg |
445 |
346 |
$0.00 |
| 64999 |
|
13 |
13 |
$0.00 |
| 69990 |
|
16 |
16 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
23 |
15 |
$0.00 |