Medicaid Provider Spending

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

BLACK RIVER AMBULATORY SURGERY CENTER, LLC

NPI: 1770149304 · POPLAR BLUFF, MO 63901 · Multi-Specialty Clinic/Center · NPI assigned 05/20/2019

$55K
Total Medicaid Paid
233
Total Claims
200
Beneficiaries
2
Codes Billed
2020-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialPRATHER, DAVID (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date05/20/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 115 $27K
2021 88 $24K
2022 30 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 203 174 $51K
V2632 Posterior chamber intraocular lens 30 26 $3K