Medicaid Provider Spending

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

ANDOVER AMBULATORY SURGERY CENTER, LLC

NPI: 1770147217 · ANDOVER, KS 67002 · Ambulatory Surgical Clinic/Center · NPI assigned 04/30/2019

$43K
Total Medicaid Paid
135
Total Claims
119
Beneficiaries
2
Codes Billed
2022-04
First Month
2023-06
Last Month

Provider Details

Authorized OfficialHADLEY, STEVEN (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date04/30/2019

Related Entities

Other providers sharing the same authorized official: HADLEY, STEVEN

ProviderCityStateTotal Paid
KANSAS MEDICAL CENTER, LLC ANDOVER KS $85K
KANSAS MEDICAL CENTER, LLC ANDOVER KS $39K
KANSAS MEDICAL CENTER, LLC DERBY KS $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 87 $31K
2023 48 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 87 71 $26K
42820 Tonsillectomy and adenoidectomy; younger than age 12 48 48 $17K