ORANGE ASC, LLC

NPI: 1780059014 · SANTA ANA, CA 92705 · Ambulatory Surgical Clinic/Center · NPI assigned 12/11/2015

$1.08M

Total Medicaid Paid

2,270

Total Claims

1,965

Beneficiaries

Codes Billed

2018-04

First Month

2024-11

Last Month

Provider Details

Authorized Official	CHANG, TOM (CEO)
NPI Enumeration Date	12/11/2015

Other providers sharing the same authorized official: CHANG, TOM

Provider	City	State	Total Paid
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR	PASADENA	CA	$64.25M
TRILOGY EYE MEDICAL GROUP INC	PASADENA	CA	$2.52M
SAN GABRIEL AMBULATORY SURGERY CENTER, LP	ARCADIA	CA	$841K

Code	Description	Claims	Beneficiaries	Total Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	2,135	1,905	$1.08M
0490		103	36	$0.00
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	16	12	$0.00
G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	16	12	$0.00