SOURCE SURGERY CENTER LLC
Ambulatory Surgical Clinic/Center · SANTA MONICA, CA
Organization Active NPI 1558802249
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 275 | 712 | $5,648,297 | $684,227 | $543,619 |
| 2023 | 231 | 648 | $4,540,979 | $519,289 | $412,552 |
| 2022 | 179 | 472 | $3,371,724 | $358,247 | $283,360 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 246 | $466 | $369 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 112 | $419 | $334 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 84 | $368 | $285 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 56 | $794 | $632 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 43 | $440 | $346 |
| 64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 33 | $476 | $376 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 27 | $805 | $641 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 26 | $404 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
Other Ambulatory Surgical Clinic/Center providers in California
- NPI 1780766675
- NPI 1740387323
- NPI 1033176565
- NPI 1679940233
- NPI 1740335744
- NPI 1427692037
- NPI 1578605044
- NPI 1619040714
See all Ambulatory Surgical Clinic/Center providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.