PRISTINE SURGERY CENTER, INC
NPI: 1831371749
· FRESNO, CA 93720
· 261QA1903X
$249K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,423 |
$142K |
| 2019 |
2,911 |
$59K |
| 2020 |
890 |
$16K |
| 2021 |
870 |
$20K |
| 2022 |
532 |
$12K |
| 2023 |
50 |
$405.71 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0360 |
|
4,491 |
1,239 |
$102K |
| 44361 |
|
796 |
776 |
$29K |
| 44377 |
|
1,145 |
1,134 |
$29K |
| 45380 |
|
1,176 |
1,157 |
$22K |
| J2704 |
Inj, propofol, 10 mg |
422 |
414 |
$21K |
| 43239 |
|
1,899 |
1,872 |
$21K |
| 45378 |
|
246 |
240 |
$6K |
| A4217 |
Sterile water/saline, 500 ml |
684 |
673 |
$4K |
| 0160 |
|
561 |
554 |
$4K |
| 0761 |
|
562 |
554 |
$2K |
| 0710 |
|
754 |
744 |
$2K |
| 93041 |
|
671 |
660 |
$2K |
| J7030 |
Normal saline solution infus |
413 |
405 |
$2K |
| 43450 |
|
216 |
215 |
$2K |
| 45384 |
|
57 |
57 |
$761.91 |
| 43255 |
|
46 |
46 |
$476.00 |
| 0760 |
|
462 |
455 |
$296.87 |
| 0490 |
|
75 |
72 |
$0.00 |