FAYETTEVILLE ASC LLC

Ambulatory Surgical Clinic/Center · FAYETTEVILLE, AR

Organization Active NPI 1922070911

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,4902,366$3,540,000$1,026,267$838,268
20231,6872,553$3,813,000$1,053,365$860,979
20221,7962,621$3,910,875$1,018,582$803,502

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare848$535$441
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope577$281$216
45380Biopsy of large bowel using a flexible endoscope386$363$298
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm138$737$579
G0105Colorectal cancer screening; colonoscopy on individual at high risk100$411$411
43450Dilation of esophagus70$355$284
45378Diagnostic exam of large bowel using a flexible endoscope54$411$316
45381Injection beneath lining of large bowel using a flexible endoscope34$298$243
43251Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare30$744$583
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk29$415$415
43248Insertion of guide wire with dilation of esophagus using a flexible endoscope29$362$290
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope19$321$250

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ambulatory Surgical Clinic/Center261QA1903XAR3230AR

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.