BANNER ESTRELLA SURGERY CENTER LLC
NPI: 1881113785
· PHOENIX, AZ 85037
· Ambulatory Surgical Clinic/Center
· NPI assigned 09/12/2017
$139K
Total Medicaid Paid
Provider Details
| Authorized Official | WERNER, TODD (PRESIDENT, CARE DELIVERY) |
| Parent Organization | BANNER HEALTH |
| NPI Enumeration Date | 09/12/2017 |
Related Entities
Other providers sharing the same authorized official: WERNER, TODD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
216 |
$30K |
| 2019 |
206 |
$31K |
| 2020 |
180 |
$41K |
| 2021 |
181 |
$34K |
| 2022 |
13 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
214 |
202 |
$53K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
271 |
250 |
$44K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
289 |
174 |
$34K |
| 64721 |
|
22 |
14 |
$7K |