SOG SURGERY CENTER LLC
NPI: 1912480070
· TUPELO, MS 38801
· Ambulatory Surgical Clinic/Center
· NPI assigned 09/13/2018
$476.45
Total Medicaid Paid
Provider Details
| Authorized Official | LUSTER, THOMAS (CEO) |
| NPI Enumeration Date | 09/13/2018 |
Related Entities
Other providers sharing the same authorized official: LUSTER, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
53 |
$0.00 |
| 2021 |
92 |
$0.00 |
| 2022 |
55 |
$0.00 |
| 2023 |
222 |
$170.46 |
| 2024 |
177 |
$305.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64999 |
|
175 |
119 |
$278.47 |
| 64483 |
|
20 |
13 |
$152.70 |
| 64447 |
|
142 |
84 |
$45.28 |
| 76942 |
|
55 |
41 |
$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 |
145 |
141 |
$0.00 |
| C1776 |
Joint device (implantable) |
62 |
39 |
$0.00 |