Medicaid Provider Spending

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

NPI: 1417228370 · EVANSTON, WY 82930 · Ambulatory Surgical Clinic/Center · NPI assigned 01/24/2012

$85K
Total Medicaid Paid
95
Total Claims
91
Beneficiaries
2
Codes Billed
2018-08
First Month
2023-10
Last Month

Provider Details

Authorized OfficialSHEPPARD, STEPHEN (ADMINISTRATOR)
NPI Enumeration Date01/24/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $12K
2022 28 $16K
2023 55 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 82 79 $79K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 12 $7K