Medicaid Provider Spending

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

CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC

NPI: 1922230853 · MIDDLETOWN, NY 10941 · Ambulatory Surgical Clinic/Center · NPI assigned 08/11/2009

$661K
Total Medicaid Paid
1,422
Total Claims
1,420
Beneficiaries
5
Codes Billed
2019-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialORTIZ, DAVID (ADMINISTRATOR)
NPI Enumeration Date08/11/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 158 $75K
2020 377 $187K
2021 413 $192K
2022 311 $134K
2023 126 $56K
2024 37 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 722 722 $335K
45380 Colonoscopy, flexible; with biopsy, single or multiple 651 649 $306K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 25 25 $14K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $6K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 12 12 $0.00