BANNER PHOENIX SURGERY CENTER LLC
NPI: 1770008922
· PHOENIX, AZ 85006
· 261QA1903X
$165K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
192 |
$47K |
| 2019 |
70 |
$17K |
| 2020 |
167 |
$32K |
| 2021 |
186 |
$46K |
| 2022 |
48 |
$6K |
| 2023 |
46 |
$7K |
| 2024 |
60 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
298 |
168 |
$54K |
| 45380 |
|
135 |
128 |
$34K |
| 43239 |
|
129 |
127 |
$32K |
| C9290 |
Inj, bupivacaine liposome |
154 |
148 |
$23K |
| 58670 |
|
12 |
12 |
$17K |
| 62321 |
|
27 |
25 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
14 |
$0.00 |