UPPER VALLEY SURGERY CENTER
NPI: 1821420571
· REXBURG, ID 83440
· Ambulatory Surgical Clinic/Center
· NPI assigned 08/05/2013
$377K
Total Medicaid Paid
Provider Details
| Authorized Official | MCMASTER, JAY (PHYSICIAN/OWNER) |
| NPI Enumeration Date | 08/05/2013 |
Related Entities
Other providers sharing the same authorized official: MCMASTER, JAY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
84 |
$47K |
| 2019 |
320 |
$16K |
| 2020 |
281 |
$20K |
| 2021 |
608 |
$37K |
| 2022 |
752 |
$125K |
| 2023 |
670 |
$101K |
| 2024 |
453 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
166 |
165 |
$230K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
178 |
173 |
$104K |
| 30140 |
|
26 |
26 |
$23K |
| 30520 |
|
27 |
27 |
$19K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
1,386 |
1,369 |
$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 |
1,385 |
1,368 |
$0.00 |