Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LA MESA › GROSSMONT OUTPATIENT SURGICAL CENTER

GROSSMONT OUTPATIENT SURGICAL CENTER

NPI: 1811095136 · LA MESA, CA 91942 · Ambulatory Surgical Clinic/Center · NPI assigned 09/20/2006

$45K
Total Medicaid Paid
37
Total Claims
36
Beneficiaries
3
Codes Billed
2018-07
First Month
2018-07
Last Month

Provider Details

Authorized OfficialELLIS, ROSE (ADMINISTRATOR)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
21026 13 12 $31K
30520 12 12 $13K
31231 12 12 $1K