ST DOMINIC AMBULATORY SURGERY CENTER L L C
Ambulatory Surgical Clinic/Center · JACKSON, MS
Organization Active NPI 1255303517
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 356 | 961 | $1,095,451 | $395,175 | $310,442 |
| 2023 | 481 | 1,233 | $1,585,036 | $514,156 | $403,908 |
| 2022 | 804 | 2,075 | $2,493,192 | $723,981 | $567,279 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 227 | $256 | $202 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 183 | $387 | $303 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 119 | $313 | $239 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 74 | $308 | $237 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 71 | $320 | $255 |
| 20610 | Aspiration and/or injection of fluid from large joint | 39 | $23 | $18 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 38 | $327 | $255 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 31 | $619 | $493 |
| 42975 | Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope | 21 | $610 | $486 |
| 20552 | Injection of trigger points, 1-2 muscles | 16 | $17 | $14 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 011 | MS |
Other Ambulatory Surgical Clinic/Center providers in Mississippi
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See all Ambulatory Surgical Clinic/Center providers in Mississippi →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.