PONY CREEK ANNEX, LLC
Ambulatory Surgical Clinic/Center · NORTH BEND, OR
Organization Active NPI 1538736459
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 590 | 950 | $3,407,108 | $1,211,541 | $952,115 |
| 2023 | 595 | 942 | $3,186,492 | $1,067,460 | $844,123 |
| 2022 | 350 | 546 | $1,758,394 | $581,886 | $463,805 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 780 | $1,156 | $907 |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 33 | $1,177 | $925 |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 32 | $2,033 | $1,614 |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 27 | $2,033 | $1,618 |
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.