Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RAYMOND RENAISSANCE SURGERY CENTER LLC

NPI: 1871939082 · PASADENA, CA 91105 · Ambulatory Surgical Clinic/Center · NPI assigned 05/14/2013

$197K
Total Medicaid Paid
486
Total Claims
475
Beneficiaries
6
Codes Billed
2018-05
First Month
2024-06
Last Month

Provider Details

Authorized OfficialTAWANSY, KHALED (OWNER)
NPI Enumeration Date05/14/2013

Related Entities

Other providers sharing the same authorized official: TAWANSY, KHALED

ProviderCityStateTotal Paid
GOLDEN STATE EYE MEDICAL GROUP INC BAKERSFIELD CA $11.19M
KHALED A. TAWANSY, M.D., INC LOS ANGELES CA $3.95M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $59K
2021 292 $59K
2023 45 $33K
2024 80 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 273 263 $181K
67041 13 12 $6K
Z7506 56 56 $5K
Z7508 56 56 $2K
Z7510 44 44 $2K
Z7512 44 44 $710.56