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NPI: 1780752352
Type: Organization
Provider Type: Ambulatory Surgical Center
Xremier Xurgery Xenter Xf Xanta Xaria Xlc
816 Xast Xnos Xrive
B
Santa Maria, CA 93454
Mailing and Business location phone:
(XXX) XXX-XXXX
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2022 Medicare Services Submitted*
| HCPCS Code △ ▽ |
Line Service
Count
△ ▽ |
Unique Beneficiary
Count
△ ▽ |
Average Submitted
Charge Amount
△ ▽ |
Average Medicare
Payment Amount
△ ▽ |
Total Medicare
Payment
△ ▽ |
|
XXXXX
|
Insertion of initial aqueous fluid drainage device into eye |
XX
|
24 |
$12000.00 |
$2884.53 |
$
XX,XXX.XX
|
|
XXXXX
|
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye |
XX
|
53 |
$12000.00 |
$3114.13 |
$
XXX,XXX.XX
|
|
XXXXX
|
Complex removal of cataract with insertion of prosthetic lens |
XX
|
50 |
$9000.00 |
$1030.62 |
$
XX,XXX.XX
|
|
XXXXX
|
Removal of cataract with insertion of prosthetic lens |
XXX
|
510 |
$9000.00 |
$1014.39 |
$
XXX,XXX.XX
|
|
XXXXX
|
Removal of membrane of retina with removal of internal limiting membrane of retina |
XX
|
16 |
$6500.00 |
$1863.02 |
$
XX,XXX.XX
|
|
XXXXX
|
Injection of medication into eye |
XX
|
24 |
$5500.00 |
$1034.31 |
$
XX,XXX.XX
|
|
XXXXX
|
Dilation to improve eye fluid flow |
XX
|
30 |
$5500.00 |
$933.68 |
$
XX,XXX.XX
|
|
XXXXX
|
Removal of excessive skin and fat of upper eyelid |
XX
|
16 |
$4500.00 |
$643.74 |
$
XX,XXX.XX
|
|
XXXXX
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Removal of recurring cataract in lens capsule using a laser |
XXX
|
183 |
$1500.00 |
$235.18 |
$
XX,XXX.XX
|
|
XXXXX
|
Injection, bimatoprost, intracameral implant, 1 microgram |
XXX
|
24 |
$250.00 |
$162.59 |
$
XX,XXX.XX
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Total Medicare Payments: |
$XXXXXXX.XXXXX
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* Source:
2022 Medicare Provider Utilization and Payment Data: Physician and Other Supplier
Medicare Referring Provider DMEPOS PUF, CY2022
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