IDAHO SURGICENTER INC
NPI: 1992759930
· POCATELLO, ID 83201
· Foot & Ankle Surgery Podiatrist
· NPI assigned 05/22/2006
$748.56
Total Medicaid Paid
Provider Details
| Authorized Official | BARNARD, SEAN (ADMINISTRATOR) |
| NPI Enumeration Date | 05/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
38 |
$748.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 20551 |
|
12 |
12 |
$320.80 |
| 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 |
13 |
13 |
$213.88 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
13 |
13 |
$213.88 |