ARDMORE REGIONAL SURGERY CENTER, LLC
NPI: 1376709907
· ARDMORE, OK 73401
· Ambulatory Surgical Clinic/Center
· NPI assigned 08/04/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code D9999 with only 2 total codes billed. Highly concentrated billing profile.
$1.10M
Total Medicaid Paid
Provider Details
| Authorized Official | GODFREY, SALLY (ADMINISTRATOR) |
| NPI Enumeration Date | 08/04/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
561 |
$195K |
| 2019 |
526 |
$194K |
| 2020 |
410 |
$158K |
| 2021 |
455 |
$176K |
| 2022 |
405 |
$159K |
| 2023 |
317 |
$120K |
| 2024 |
250 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
2,816 |
2,816 |
$1.07M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
108 |
55 |
$33K |