Medicaid Provider Spending

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

SURGICAL ASSOCIATES OF INDIANA, LLC

NPI: 1477659886 · NOBLESVILLE, IN 46060 · Surgery Physician · NPI assigned 09/15/2006

$4K
Total Medicaid Paid
93
Total Claims
43
Beneficiaries
1
Codes Billed
2018-08
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPULLEY, KELLY-ANN (PRACTICE MANAGER)
NPI Enumeration Date09/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 93 43 $4K