ST DOMINIC AMBULATORY SURGERY CENTER L L C

Ambulatory Surgical Clinic/Center · JACKSON, MS

Organization Active NPI 1255303517

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024356961$1,095,451$395,175$310,442
20234811,233$1,585,036$514,156$403,908
20228042,075$2,493,192$723,981$567,279

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography227$256$202
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level183$387$303
62323Injection of substance into lower spine canal using imaging guidance119$313$239
62321Injection of substance into middle or upper spine canal using imaging guidance74$308$237
64493Injection of lower or sacral spine facet joint using imaging guidance, single level71$320$255
20610Aspiration and/or injection of fluid from large joint39$23$18
64490Injection of upper or middle spine facet joint using imaging guidance, single level38$327$255
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint31$619$493
42975Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope21$610$486
20552Injection of trigger points, 1-2 muscles16$17$14

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ambulatory Surgical Clinic/Center261QA1903X011MS

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.