PISA ASC HOLDCO LLC
Ambulatory Surgical Clinic/Center · TUCSON, AZ
Organization Active NPI 1174185649
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,299 | 3,261 | $24,110,726 | $6,153,169 | $4,893,450 |
| 2023 | 1,660 | 4,866 | $7,693,355 | $5,922,179 | $4,695,681 |
| 2022 | 1,690 | 5,693 | $6,639,409 | $4,668,625 | $3,695,182 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 415 | $324 | $258 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 405 | $365 | $287 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 384 | $611 | $484 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 337 | $265 | $208 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 265 | $321 | $245 |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 239 | $5,072 | $4,043 |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 182 | $4,594 | $3,657 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 179 | $402 | $319 |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 179 | $4,424 | $3,525 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 125 | $321 | $249 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 119 | $766 | $609 |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 102 | $35 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.