Medicaid Provider Spending

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

JACKSON SURGERY CENTER, LLC

NPI: 1336375930 · MONTGOMERY, AL 36106 · Ambulatory Surgical Clinic/Center · NPI assigned 06/09/2009

$41K
Total Medicaid Paid
700
Total Claims
397
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialSALLAS, MISSY (ADMINISTRATOR)
NPI Enumeration Date06/09/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 428 $15K
2019 158 $7K
2022 54 $7K
2023 60 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 427 130 $35K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $6K
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 218 213 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 43 42 $0.00