Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › BURLEY › AMBULATORY SURGERY CENTER OF BURLEY, LLC

AMBULATORY SURGERY CENTER OF BURLEY, LLC

NPI: 1780103507 · BURLEY, ID 83318 · Certified Registered Nurse Anesthetist · NPI assigned 09/13/2017

$3K
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
1
Codes Billed
2018-08
First Month
2021-01
Last Month

Provider Details

Authorized OfficialPETERSEN, JOSEPH (CEO)
Parent OrganizationAMBULATORY SURGERY CENTER OF BURLEY, LLC
NPI Enumeration Date09/13/2017

Related Entities

Other providers sharing the same authorized official: PETERSEN, JOSEPH

ProviderCityStateTotal Paid
AMBULATORY SURGERY CENTER OF BURLEY, LLC BURLEY ID $561K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $2K
2021 13 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00170 Anesthesia for intraoral procedures, including biopsy 26 26 $3K