Medicaid Provider Spending

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

SURGERY CENTER AT EDGEWOOD PLACE, LLC

NPI: 1659392595 · TRANSFER, PA 16154 · General Acute Care Hospital · NPI assigned 07/23/2006

$28K
Total Medicaid Paid
399
Total Claims
351
Beneficiaries
6
Codes Billed
2020-12
First Month
2022-08
Last Month

Provider Details

Authorized OfficialBENKA, JANE (ADMINISTRATOR)
NPI Enumeration Date07/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 42 $137.44
2021 281 $12K
2022 76 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 36 25 $26K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 283 249 $1K
77003 30 28 $121.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg 26 25 $0.13
J2250 Injection, midazolam hydrochloride, per 1 mg 12 12 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 12 12 $0.00