CHARTER ANESTHESIOLOGY LLC
NPI: 1730674532
· WEST HARTFORD, CT 06105
· Anesthesiology Physician
· NPI assigned 06/25/2018
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | GIPSON, KEITH (MEMBER) |
| NPI Enumeration Date | 06/25/2018 |
Related Entities
Other providers sharing the same authorized official: GIPSON, KEITH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
21 |
$949.07 |
| 2020 |
112 |
$7K |
| 2021 |
71 |
$3K |
| 2022 |
677 |
$31K |
| 2023 |
849 |
$59K |
| 2024 |
614 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,084 |
882 |
$88K |
| 00731 |
|
421 |
319 |
$24K |
| 00142 |
|
491 |
301 |
$20K |
| 00126 |
|
299 |
248 |
$17K |
| 00811 |
|
37 |
31 |
$2K |
| 00813 |
|
12 |
12 |
$1K |