Medicaid Provider Spending

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

NORTHERN PLAINS SURGERY CENTER LLC

NPI: 1649350844 · FARGO, ND 58103 · Ambulatory Surgical Clinic/Center · NPI assigned 10/16/2006

$22K
Total Medicaid Paid
64
Total Claims
38
Beneficiaries
2
Codes Billed
2022-10
First Month
2023-05
Last Month

Provider Details

Authorized OfficialMOON, VIRGINIA (INSURANCE COORDINATOR)
NPI Enumeration Date10/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 21 $3K
2023 43 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 23 13 $13K
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 41 25 $9K