SOURCE SURGERY CENTER LLC

Ambulatory Surgical Clinic/Center · SANTA MONICA, CA

Organization Active NPI 1558802249

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024275712$5,648,297$684,227$543,619
2023231648$4,540,979$519,289$412,552
2022179472$3,371,724$358,247$283,360

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level246$466$369
64493Injection of lower or sacral spine facet joint using imaging guidance, single level112$419$334
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography84$368$285
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint56$794$632
64490Injection of upper or middle spine facet joint using imaging guidance, single level43$440$346
64479Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level33$476$376
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint27$805$641
62321Injection of substance into middle or upper spine canal using imaging guidance26$404$321

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ambulatory Surgical Clinic/Center261QA1903X

Other Ambulatory Surgical Clinic/Center providers in California

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.