NEW VISTA PAC OPERATOR, LLC
NPI: 1881932424
· LOS ANGELES, CA 90025
· 314000000X
$156K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,911 |
$63K |
| 2020 |
950 |
$17K |
| 2021 |
2,407 |
$47K |
| 2022 |
1,073 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4625 |
Trach care kit for new trach |
2,993 |
105 |
$41K |
| A4623 |
Tracheostomy inner cannula |
2,897 |
105 |
$39K |
| 97530 |
|
754 |
90 |
$29K |
| 97110 |
|
929 |
107 |
$22K |
| 97112 |
|
674 |
103 |
$20K |
| A7521 |
Trach/laryn tube cuffed |
94 |
92 |
$5K |