Medicaid Provider Spending

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

SUMMIT HEALTH PARTNERS LLC

NPI: 1528643285 · FLETCHER, NC 28732 · Ambulatory Surgical Clinic/Center · NPI assigned 03/15/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official OCONNOR, KRISTEN controls 14+ related entities in our dataset. Read more

$527K
Total Medicaid Paid
1,617
Total Claims
939
Beneficiaries
3
Codes Billed
2022-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOCONNOR, KRISTEN (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date03/15/2021

Related Entities

Other providers sharing the same authorized official: OCONNOR, KRISTEN

ProviderCityStateTotal Paid
PARAMUS ENDOSCOPY LLC PARAMUS NJ $1.04M
MOUNTAIN EMPIRE SURGERY CENTER LP JOHNSON CITY TN $369K
CENTRAL VIRGINIA SURGI-CENTER LP FREDERICKSBURG VA $319K
NORTHRIDGE SURGERY CENTER, LP MADISON TN $284K
HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC KINGSPORT TN $272K
KHS AMBULATORY SURGERY CENTER, LLC SEWELL NJ $225K
BAPTIST SURGERY CENTER LP NASHVILLE TN $11K
MARY IMMACULATE AMBULATORY SURGERY CENTER LLC NEWPORT NEWS VA $6K
BAPTIST PLAZA SURGICARE, LP NASHVILLE TN $5K
MID STATE ENDO UAP, LLC MURFREESBORO TN $4K
MIDDLE TENNESSEE AMBULATORY SURGERY CENTER, L.P. MURFREESBORO TN $4K
CHATTANOOGA PAIN MANAGEMENT CENTER LLC HIXSON TN $2K
SAINT FRANCIS SURGERY CENTER, LLC MEMPHIS TN $0.00
AMBULATORY SURGICAL ASSOCIATES LLC TULLAHOMA TN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 105 $22K
2023 930 $269K
2024 582 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,117 575 $346K
42820 Tonsillectomy and adenoidectomy; younger than age 12 482 349 $173K
42830 18 15 $7K