SAN-SUN 2014 SERIES LLC
Ambulatory Surgical Clinic/Center · WICHITA FALLS, TX
Organization Active NPI 1336839893
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 90 | 452 | $508,432 | $202,225 | $161,043 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64640 | Destruction of peripheral nerve or branch | 139 | $110 | $88 |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 90 | $832 | $663 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 70 | $624 | $497 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 49 | $438 | $349 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 42 | $624 | $495 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
Other Ambulatory Surgical Clinic/Center providers in Texas
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.