OLD MOULTRIE SURGICAL CENTER INC
Ambulatory Surgical Clinic/Center · ST AUGUSTINE, FL
Organization Active NPI 1144326307
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 237 | 426 | $5,616,963 | $2,629,546 | $2,093,293 |
| 2023 | 208 | 488 | $5,613,301 | $2,633,583 | $2,096,757 |
| 2022 | 157 | 298 | $1,731,269 | $774,682 | $617,451 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 88 | $4,526 | $3,603 |
| 0627T | Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | 69 | $9,590 | $7,639 |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 53 | $8,514 | $6,768 |
| 63685 | Insertion or replacement of spinal neurostimulator generator or receiver | 23 | $23,117 | $18,419 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 12 | $110 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 1089 | FL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.