SIERRA ENDOSCOPY CENTER, LLC
NPI: 1760440515
· GRASS VALLEY, CA 95945
· 261QA1903X
$578K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,710 |
$74K |
| 2019 |
2,888 |
$124K |
| 2020 |
2,920 |
$151K |
| 2021 |
30 |
$7K |
| 2022 |
3,617 |
$158K |
| 2023 |
895 |
$59K |
| 2024 |
76 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0490 |
|
6,434 |
2,083 |
$329K |
| 99199 |
|
3,896 |
974 |
$171K |
| 43239 |
|
1,526 |
1,519 |
$61K |
| 45378 |
|
134 |
134 |
$11K |
| 45385 |
|
122 |
121 |
$5K |
| 45380 |
|
12 |
12 |
$844.23 |
| G0378 |
Hospital observation per hr |
12 |
12 |
$360.00 |