Medicaid Provider Spending

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

PONY CREEK ANNEX, LLC

NPI: 1538736459 · NORTH BEND, OR 97459 · Ambulatory Surgical Clinic/Center · NPI assigned 06/09/2021

$91K
Total Medicaid Paid
311
Total Claims
229
Beneficiaries
1
Codes Billed
2022-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGILBERT, JANE (MEDICAL DIRECTOR)
NPI Enumeration Date06/09/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 110 $25K
2023 131 $39K
2024 70 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 311 229 $91K