Medicaid Provider Spending

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

MISSISSIPPI MEDICAL PLAZA, LC

NPI: 1619933835 · DAVENPORT, IA 52807 · Ambulatory Surgical Clinic/Center · NPI assigned 04/25/2006

$907K
Total Medicaid Paid
2,896
Total Claims
2,704
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOHF, SUSAN (MANAGER)
NPI Enumeration Date04/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 725 $139K
2019 326 $87K
2020 129 $33K
2021 156 $38K
2022 247 $82K
2023 807 $327K
2024 506 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,344 1,305 $340K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 622 525 $318K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 307 294 $92K
42820 Tonsillectomy and adenoidectomy; younger than age 12 150 150 $90K
45380 Colonoscopy, flexible; with biopsy, single or multiple 200 195 $53K
43248 30 29 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $4K
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 230 193 $0.00