UPPER VALLEY SURGERY CENTER
NPI: 1821420571
· REXBURG, ID 83440
· 261QA1903X
$377K
Total Medicaid Paid
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 |
|
166 |
165 |
$230K |
| 69436 |
|
178 |
173 |
$104K |
| 30140 |
|
26 |
26 |
$23K |
| 30520 |
|
27 |
27 |
$19K |
| G8918 |
Pt w/o preop order iv ab pro |
1,386 |
1,369 |
$0.00 |
| G8907 |
Pt doc no events on discharg |
1,385 |
1,368 |
$0.00 |