SENTARA OBICI AMBULATORY SURGERY, LLC
NPI: 1811101439
· SUFFOLK, VA 23434
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/10/2007
$270K
Total Medicaid Paid
Provider Details
| Authorized Official | HERTZLER, DONNA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
86 |
$38K |
| 2019 |
413 |
$70K |
| 2020 |
191 |
$58K |
| 2021 |
184 |
$85K |
| 2022 |
36 |
$9K |
| 2023 |
25 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
598 |
486 |
$249K |
| D7140 |
Extraction, erupted tooth or exposed root |
34 |
24 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
46 |
13 |
$8K |
| V2632 |
Posterior chamber intraocular lens |
44 |
12 |
$38.94 |
| 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 |
93 |
40 |
$0.00 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
90 |
39 |
$0.00 |
| D9420 |
|
30 |
24 |
$0.00 |