RIDGE LAKE ASC, LLC
NPI: 1790844132
· MEMPHIS, TN 38120
· Ambulatory Surgical Clinic/Center
· NPI assigned 12/08/2006
$390K
Total Medicaid Paid
Provider Details
| Authorized Official | GOLLAMUDI, SUBBA (MANAGING PARTNER) |
| NPI Enumeration Date | 12/08/2006 |
Related Entities
Other providers sharing the same authorized official: GOLLAMUDI, SUBBA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,380 |
$80K |
| 2019 |
1,007 |
$56K |
| 2020 |
695 |
$55K |
| 2021 |
1,062 |
$41K |
| 2022 |
663 |
$34K |
| 2023 |
826 |
$68K |
| 2024 |
480 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
4,565 |
3,375 |
$383K |
| 66982 |
|
57 |
40 |
$6K |
| 66821 |
|
28 |
12 |
$1K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
733 |
711 |
$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 |
730 |
709 |
$0.00 |