FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC
Ambulatory Surgical Clinic/Center · MAPLE GROVE, MN
Organization Active NPI 1346468253
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 513 | 802 | $2,148,785 | $629,907 | $508,160 |
| 2023 | 466 | 704 | $1,748,412 | $498,170 | $400,652 |
| 2022 | 480 | 720 | $1,713,291 | $492,415 | $395,421 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 115 | $619 | $516 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 78 | $400 | $314 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 77 | $476 | $389 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 62 | $1,193 | $943 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 34 | $480 | $480 |
| 67904 | Repair of tendon of upper eyelid | 29 | $737 | $586 |
| 67900 | Repair of brow paralysis | 25 | $576 | $459 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 25 | $480 | $480 |
| 64721 | Release and/or relocation of hand nerve | 14 | $912 | $719 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 11 | $482 | $344 |
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.