Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GRAND ISLAND SURGICAL CENTER LLC

NPI: 1316940539 · GRAND ISLAND, NE 68803 · Ambulatory Surgical Clinic/Center · NPI assigned 05/23/2005

$79K
Total Medicaid Paid
649
Total Claims
582
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialTERRY, KEN (ADMINISTRATOR)
NPI Enumeration Date05/23/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 333 $0.00
2019 29 $0.00
2020 68 $6K
2021 165 $49K
2022 54 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 91 82 $41K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 97 81 $38K
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 146 131 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 315 288 $0.00