Medicaid Provider Spending

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

PHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC

NPI: 1699818237 · VIRGINIA BEACH, VA 23462 · Ambulatory Surgical Clinic/Center · NPI assigned 02/14/2007

$72K
Total Medicaid Paid
450
Total Claims
366
Beneficiaries
3
Codes Billed
2018-02
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMONTGOMERY, WILLIAM (AUTHORIZED OFFICIAL)
NPI Enumeration Date02/14/2007

Related Entities

Other providers sharing the same authorized official: MONTGOMERY, WILLIAM

ProviderCityStateTotal Paid
MID-STATE ENDOSCOPY CENTER LLC MURFREESBORO TN $156K
FRANKLIN ENDOSCOPY CENTER, LLC FRANKLIN TN $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 213 $0.00
2019 19 $3K
2020 12 $4K
2021 21 $7K
2022 106 $33K
2023 79 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 237 203 $72K
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 95 73 $0.00
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 118 90 $0.00