Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› TEN MILE SURGERY CENTER, LLC
TEN MILE SURGERY CENTER, LLC
NPI: 1689260341 · MERIDIAN, ID 83642 ·
Ambulatory Surgical Clinic/Center
· NPI assigned 12/17/2020
$2K
Total Medicaid Paid
63
Total Claims
39
Beneficiaries
2
Codes Billed
2022-03
First Month
2024-10
Last Month
Provider Details
Authorized Official
BLOXHAM, JENNIFER
(ADMINISTRATOR)
NPI Enumeration Date
12/17/2020
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
51
$0.00
2024
12
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
C9290
Injection, bupivacaine liposome, 1 mg
12
12
$2K
L8699
Prosthetic implant, not otherwise specified
51
27
$0.00