FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC
Ambulatory Surgical Clinic/Center · FORT WAYNE, IN
Organization Active NPI 1144275629
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 386 | 594 | $2,246,497 | $289,805 | $239,186 |
| 2023 | 417 | 618 | $2,297,078 | $274,276 | $226,874 |
| 2022 | 194 | 239 | $791,784 | $103,148 | $85,984 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 80 | $402 | $318 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 77 | $594 | $500 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 77 | $524 | $444 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 68 | $435 | $343 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 54 | $798 | $630 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 47 | $458 | $458 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 40 | $344 | $265 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 28 | $451 | $355 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 22 | $341 | $271 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 21 | $851 | $669 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 21 | $315 | $251 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $458 | $458 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | PENDING | IN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.