Medicaid Provider Spending

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

AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC

NPI: 1619972791 · SPARTANBURG, SC 29303 · Ambulatory Surgical Clinic/Center · NPI assigned 06/16/2005

$518K
Total Medicaid Paid
2,258
Total Claims
1,594
Beneficiaries
6
Codes Billed
2018-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialPANKEY, MIKE (ADMINISTRATOR)
NPI Enumeration Date06/16/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143 $23K
2019 210 $29K
2020 119 $20K
2021 213 $42K
2022 479 $119K
2023 602 $152K
2024 492 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,189 601 $260K
42820 Tonsillectomy and adenoidectomy; younger than age 12 329 326 $145K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 390 359 $60K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 321 279 $50K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $2K
L8699 Prosthetic implant, not otherwise specified 17 17 $0.00