THE SURGERY CENTER AT SELF MEMORIAL HOSPITAL, LLC
NPI: 1427044452
· GREENWOOD, SC 29646
· 261QA1903X
$678K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
352 |
$92K |
| 2019 |
495 |
$150K |
| 2020 |
162 |
$47K |
| 2021 |
90 |
$23K |
| 2022 |
293 |
$87K |
| 2023 |
433 |
$130K |
| 2024 |
482 |
$148K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
|
842 |
830 |
$364K |
| 69436 |
|
1,377 |
714 |
$288K |
| 42830 |
|
56 |
54 |
$21K |
| 66984 |
|
32 |
26 |
$4K |