SALUBRIOUS ASC, LLC
Ambulatory Surgical Clinic/Center · WOODSTOCK, GA
Organization Active NPI 1770911463
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 149 | 485 | $2,177,820 | $191,720 | $152,841 |
| 2023 | 143 | 460 | $2,302,296 | $224,414 | $178,495 |
| 2022 | 123 | 328 | $1,566,250 | $153,579 | $121,994 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 97 | $276 | $220 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 75 | $327 | $261 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 71 | $686 | $547 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 62 | $350 | $276 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 59 | $397 | $313 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 53 | $338 | $269 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 27 | $324 | $256 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 21 | $638 | $513 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 208VP0014X | GA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.