SOUTH ARLINGTON SURGICAL PROVIDERS, LLC
NPI: 1902844426
· ARLINGTON, TX 76018
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/04/2006
$210K
Total Medicaid Paid
Provider Details
| Authorized Official | O'NEAL, STEPHANIE (CHIEF ADMINISTRATIVE OFFICER) |
| NPI Enumeration Date | 06/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
498 |
$17K |
| 2019 |
148 |
$0.00 |
| 2020 |
35 |
$7K |
| 2021 |
40 |
$7K |
| 2022 |
107 |
$33K |
| 2023 |
244 |
$66K |
| 2024 |
323 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
659 |
449 |
$209K |
| V2632 |
Posterior chamber intraocular lens |
214 |
149 |
$423.62 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
261 |
185 |
$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 |
261 |
185 |
$0.00 |