LVHN AMBULATORY SURGERY CENTER OF LOPATCONG, INC.

NPI: 1841830403 · PHILLIPSBURG, NJ 08865 · Ambulatory Surgical Clinic/Center · NPI assigned 01/13/2020

$27K

Total Medicaid Paid

540

Total Claims

348

Beneficiaries

Codes Billed

2021-04

First Month

2021-09

Last Month

Provider Details

Authorized Official	MARCHOZZI, THOMAS (SR VP & CFO)
NPI Enumeration Date	01/13/2020

Other providers sharing the same authorized official: MARCHOZZI, THOMAS

Provider	City	State	Total Paid
HARTFORD HOSPITAL	HARTFORD	CT	$316.28M
LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN	ALLENTOWN	PA	$2.40M
LVHN COORDINATED PROFESSIONAL PRACTICE	ALLENTOWN	PA	$729K
LVHN SCRANTON ORTHOPEDIC SPECIALISTS	DICKSON CITY	PA	$40K
POCONO KIDS DENTAL	EAST STROUDSBURG	PA	$32K
LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH BETHLEHEM	BETHLEHEM	PA	$23K
LVHN COORDINATED PROFESSIONAL PRACTICE OF NJ, PC	PHILLIPSBURG	NJ	$23K
LEHIGH VALLEY HOSPITAL MUHLENBERG	BETHLEHEM	PA	$18K
LEHIGH VALLEY HOSPITAL MUHLENBERG	BETHLEHEM	PA	$4K
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET SPU	POTTSVILLE	PA	$913.99

Year	Claims	Total Paid
2021	540	$27K

Code	Description	Claims	Beneficiaries	Total Paid
41899	Unlisted procedure, dentoalveolar structures	31	31	$25K
41820		13	13	$2K
OP710		54	53	$0.00
OP259		254	72	$0.00
OP250		32	27	$0.00
OP370		68	67	$0.00
A9270	Non-covered item or service	16	16	$0.00
OP270		72	69	$0.00