GREAT LAKES AMBULATORY SURGERY CENTER
Ambulatory Surgical Clinic/Center · MENTOR, OH
Organization Active NPI 1023498219
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 127 | 461 | $1,240,217 | $488,086 | $387,345 |
| 2023 | 137 | 470 | $1,247,626 | $594,357 | $471,106 |
| 2022 | 128 | 465 | $1,183,409 | $498,992 | $395,804 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 117 | $326 | $257 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 80 | $332 | $263 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 51 | $327 | $257 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 38 | $625 | $498 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 35 | $271 | $213 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 31 | $376 | $294 |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 31 | $4,514 | $3,597 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 22 | $633 | $499 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 17 | $327 | $258 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 35-075570 | OH |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.