RAYMOND RENAISSANCE SURGERY CENTER LLC
NPI: 1871939082
· PASADENA, CA 91105
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/14/2013
$197K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: TAWANSY, KHALED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
69 |
$59K |
| 2021 |
292 |
$59K |
| 2023 |
45 |
$33K |
| 2024 |
80 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |