SURGERY CENTER OF FORT WAYNE
NPI: 1780218115
· FORT WAYNE, IN 46804
· Ambulatory Surgical Clinic/Center
· NPI assigned 02/25/2020
$601K
Total Medicaid Paid
Provider Details
| Authorized Official | EHRET, BRANDON (ADMINISTRATOR) |
| NPI Enumeration Date | 02/25/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
399 |
$37K |
| 2022 |
2,024 |
$206K |
| 2023 |
2,613 |
$310K |
| 2024 |
199 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64635 |
|
653 |
258 |
$178K |
| 64483 |
|
829 |
437 |
$113K |
| 64633 |
|
271 |
159 |
$79K |
| 64493 |
|
560 |
181 |
$58K |
| 64490 |
|
561 |
148 |
$54K |
| 64636 |
|
618 |
244 |
$29K |
| 64494 |
|
556 |
180 |
$28K |
| 62321 |
|
125 |
95 |
$21K |
| 64491 |
|
489 |
132 |
$18K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
97 |
43 |
$8K |
| 64634 |
|
261 |
154 |
$6K |
| 62323 |
|
29 |
25 |
$5K |
| 27096 |
|
98 |
54 |
$3K |
| 77002 |
|
88 |
61 |
$0.00 |