PEDIATRIC SURGERY CENTER -ODESSA, LLC
NPI: 1750565594
· ODESSA, FL 33556
· 261QA1903X
$10.56M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
2,597 |
$1.79M |
| 2020 |
1,351 |
$852K |
| 2021 |
2,406 |
$1.52M |
| 2022 |
3,037 |
$2.00M |
| 2023 |
3,220 |
$2.36M |
| 2024 |
2,510 |
$2.04M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 42830 |
|
2,633 |
2,560 |
$2.42M |
| 69436 |
|
4,050 |
3,912 |
$2.41M |
| 42820 |
|
2,064 |
2,030 |
$2.01M |
| D2930 |
|
2,225 |
2,166 |
$1.94M |
| D7140 |
|
1,690 |
1,653 |
$693K |
| 54161 |
|
486 |
476 |
$397K |
| D2335 |
|
266 |
264 |
$329K |
| 43239 |
|
471 |
461 |
$172K |
| D9420 |
|
432 |
292 |
$108K |
| 42825 |
|
25 |
25 |
$23K |
| 31231 |
|
652 |
637 |
$16K |
| 99499 |
|
22 |
13 |
$12K |
| 42821 |
|
12 |
12 |
$12K |
| 31233 |
|
81 |
78 |
$11K |
| 41010 |
|
12 |
12 |
$7K |