Medicaid Provider Spending

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

NORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC

NPI: 1710982699 · HANNIBAL, MO 63401 · Ambulatory Surgical Clinic/Center · NPI assigned 06/16/2005

$9K
Total Medicaid Paid
197
Total Claims
182
Beneficiaries
2
Codes Billed
2018-04
First Month
2021-06
Last Month

Provider Details

Authorized OfficialJOHNSON, MATTHEW (ADMINISTRATOR)
NPI Enumeration Date06/16/2005

Related Entities

Other providers sharing the same authorized official: JOHNSON, MATTHEW

ProviderCityStateTotal Paid
MEDICAL ANESTHESIA GROUP, PA MEMPHIS TN $517K
JOHNSON CHIROPRACTIC, INC WARSAW IN $472K
LORING HOSPITAL SAC CITY IA $452K
JOHNSON FAMILY DENTISTRY OWENSBORO KY $73K
CHET JOHNSON DRUGS, INC. AMERY WI $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $5K
2019 83 $5K
2021 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 26 24 $9K
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 171 158 $0.00