NPI: 1871016071 · POCATELLO, ID 83201 · Ambulatory Surgical Clinic/Center · NPI assigned 07/19/2017
Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PETROVICH, STEPHEN (EVP) |
| Parent Organization | POCATELLO HEALTH SYSTEM, LLC |
| NPI Enumeration Date | 07/19/2017 |
Other providers sharing the same authorized official: PETROVICH, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $57.71M |
| LOVELACE HEALTH SYSTEM LLC | ALBUQUERQUE | NM | $45.27M |
| SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | NM | $41.40M |
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $31.24M |
| LOVELACE HEALTH SYSTEM LLC | ROSWELL | NM | $20.13M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $9.41M |
| HENDERSON HOSPITAL, LLC | HENDERSON | TX | $8.52M |
| ATHENS HOSPITAL, LLC | ATHENS | TX | $8.32M |
| ETMC PHYSICIAN GROUP INC. | TYLER | TX | $8.03M |
| TYLER REGIONAL HOSPITAL LLC | TYLER | TX | $7.94M |
| LOVELACE UNM REHABILITATION HOSPITAL LLC | ALBUQUERQUE | NM | $6.30M |
| POCATELLO HOSPITAL LLC | POCATELLO | ID | $6.11M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $5.93M |
| AHS PRYOR HOSPITAL, LLC | PRYOR | OK | $5.61M |
| BSA HOSPITAL LLC | AMARILLO | TX | $4.96M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $4.83M |
| AHS CLAREMORE REGIONAL HOSPITAL, LLC. | CLAREMORE | OK | $4.81M |
| AHS HENRYETTA HOSPITAL LLC | HENRYETTA | OK | $4.27M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $3.98M |
| TOPEKA HOSPITAL, LLC | TOPEKA | KS | $3.94M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 54 | $2K |
| 2020 | 139 | $36K |
| 2021 | 119 | $24K |
| 2022 | 131 | $40K |
| 2023 | 112 | $33K |
| 2024 | 46 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 411 | 405 | $102K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 135 | 135 | $41K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 13 | 13 | $3K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 21 | 12 | $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 | 21 | 12 | $0.00 |