NORTH CENTRAL METHODIST ASC, LP
NPI: 1922075167
· SAN ANTONIO, TX 78258
· Ambulatory Surgical Clinic/Center
· NPI assigned 03/07/2006
$202K
Total Medicaid Paid
Provider Details
| Authorized Official | CARR, TIMOTHY (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 03/07/2006 |
Related Entities
Other providers sharing the same authorized official: CARR, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
30 |
$7K |
| 2022 |
189 |
$45K |
| 2023 |
289 |
$72K |
| 2024 |
320 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
758 |
462 |
$172K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$23K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
25 |
$5K |
| 30802 |
|
13 |
12 |
$1K |
| C1889 |
Implantable/insertable device, not otherwise classified |
20 |
20 |
$0.00 |