SOUTHPARK SURGERY CENTER LLC
NPI: 1811940141
· CHARLOTTE, NC 28210
· 261QA1903X
$2.75M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,665 |
$473K |
| 2019 |
1,754 |
$536K |
| 2020 |
668 |
$230K |
| 2021 |
963 |
$147K |
| 2022 |
1,218 |
$283K |
| 2023 |
1,925 |
$558K |
| 2024 |
1,819 |
$523K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
|
3,758 |
2,129 |
$1.15M |
| 42820 |
|
1,410 |
1,270 |
$650K |
| 66984 |
|
2,982 |
1,755 |
$525K |
| 42830 |
|
777 |
686 |
$370K |
| 30140 |
|
246 |
165 |
$58K |
| V2632 |
Post chmbr intraocular lens |
37 |
28 |
$37.37 |
| G8918 |
Pt w/o preop order iv ab pro |
301 |
268 |
$0.00 |
| G8907 |
Pt doc no events on discharg |
319 |
285 |
$0.00 |
| J7120 |
Ringers lactate infusion |
16 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
16 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
126 |
26 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$0.00 |