PHYSICIANS SURGERY CENTER AT GOOD SAMARITAN, LLC
Ambulatory Surgical Clinic/Center · MOUNT VERNON, IL
Organization Active NPI 1285980151
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 368 | 3,869 | $5,433,038 | $721,062 | $570,285 |
| 2023 | 467 | 4,875 | $6,744,571 | $734,135 | $583,073 |
| 2022 | 452 | 3,364 | $6,816,009 | $747,161 | $591,633 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3,303 | $6 | $5 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 220 | $1,067 | $845 |
| 29848 | Release of wrist ligament using an endoscope | 72 | $703 | $535 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 33 | $2,968 | $2,362 |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 25 | $811 | $636 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 19 | $2,003 | $1,598 |
| 50590 | Shock wave crushing of kidney stones | 13 | $1,466 | $1,168 |
| 26055 | Incision of tendon covering of finger | 12 | $492 | $382 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 7003172 | IL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.