GREAT LAKES SURGICAL CENTER LLC
NPI: 1568420388
· SOUTHFIELD, MI 48034
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/02/2006
$3.96M
Total Medicaid Paid
Provider Details
| Authorized Official | METZ, KEITH (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 05/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
971 |
$443K |
| 2019 |
1,078 |
$459K |
| 2020 |
659 |
$279K |
| 2021 |
600 |
$267K |
| 2022 |
1,379 |
$627K |
| 2023 |
1,859 |
$948K |
| 2024 |
1,770 |
$939K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,763 |
1,756 |
$2.11M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
4,826 |
2,933 |
$1.08M |
| 42830 |
|
832 |
829 |
$480K |
| 30140 |
|
682 |
403 |
$216K |
| 30520 |
|
128 |
127 |
$64K |
| 69610 |
|
85 |
70 |
$9K |