FAYETTEVILLE ASC LLC
NPI: 1922070911
· FAYETTEVILLE, AR 72703
· Ambulatory Surgical Clinic/Center
· NPI assigned 02/03/2006
$155K
Total Medicaid Paid
Provider Details
| Authorized Official | SNODGRASS, JEFF (PRESIDENT) |
| NPI Enumeration Date | 02/03/2006 |
Related Entities
Other providers sharing the same authorized official: SNODGRASS, JEFF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
136 |
$13K |
| 2019 |
29 |
$5K |
| 2020 |
85 |
$18K |
| 2021 |
41 |
$10K |
| 2022 |
166 |
$30K |
| 2023 |
225 |
$47K |
| 2024 |
146 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
687 |
522 |
$128K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
95 |
75 |
$27K |
| 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 |
46 |
44 |
$0.00 |