Medicaid Provider Spending

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

BANNER MESA SURGERY CENTER LLC

NPI: 1780109934 · MESA, AZ 85202 · Ambulatory Surgical Clinic/Center · NPI assigned 08/09/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$2.80M
Total Medicaid Paid
5,272
Total Claims
4,767
Beneficiaries
14
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (SR VP FINANCE)
Parent OrganizationBANNER HEALTH
NPI Enumeration Date08/09/2017

Related Entities

Other providers sharing the same authorized official: COX, MATTHEW

ProviderCityStateTotal Paid
SPECTRUM HEALTH HOSPITALS GRAND RAPIDS MI $243.22M
OAKWOOD HEALTHCARE, INC. DEARBORN MI $165.61M
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $162.64M
WILLIAM BEAUMONT HOSPITAL TROY MI $84.88M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC SAINT JOSEPH MI $78.22M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $72.21M
WILLIAM BEAUMONT HOSPITAL GROSSE POINTE MI $61.49M
OAKWOOD HEALTHCARE, INC. WAYNE MI $55.44M
OAKWOOD HEALTHCARE, INC. TAYLOR MI $50.28M
OAKWOOD HEALTHCARE, INC. TRENTON MI $23.26M
SPECTRUM HEALTH UNITED GREENVILLE MI $20.99M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $19.50M
PENNOCK HOSPITAL HASTINGS MI $15.24M
REED CITY HOSPITAL CORPORATION REED CITY MI $15.02M
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $10.12M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $9.85M
LAKELAND COMMUNITY HOSPITAL WATERVLIET NILES MI $9.05M
VISITING NURSE SERVICES OF WESTERN MICHIGAN GRAND RAPIDS MI $4.54M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC BENTON HARBOR MI $3.33M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $2.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 169 $55K
2020 403 $103K
2021 1,168 $252K
2022 1,357 $581K
2023 1,153 $916K
2024 1,022 $892K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
42820 Tonsillectomy and adenoidectomy; younger than age 12 839 829 $1.41M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,061 853 $380K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,674 1,610 $367K
30140 482 350 $237K
45380 Colonoscopy, flexible; with biopsy, single or multiple 778 730 $231K
54360 84 82 $89K
42830 41 41 $29K
29848 44 38 $14K
64721 26 26 $12K
54161 21 21 $11K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 16 14 $7K
30520 12 12 $6K
64483 15 13 $6K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 179 148 $4K