Medicaid Provider Spending

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

EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC

NPI: 1598068306 · FORT SMITH, AR 72903 · Ambulatory Surgical Clinic/Center · NPI assigned 12/16/2010

$296K
Total Medicaid Paid
1,288
Total Claims
1,059
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, CHRISTOPHER (PRESIDENT)
NPI Enumeration Date12/16/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $37K
2019 111 $17K
2020 137 $25K
2021 130 $40K
2022 219 $58K
2023 290 $77K
2024 155 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 960 740 $249K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 134 133 $48K
69990 158 156 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 18 15 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 18 15 $0.00