Medicaid Provider Spending

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

CENTRAL UTAH SURGICAL CENTER L.L.C.

NPI: 1962463950 · PROVO, UT 84604 · Ambulatory Surgical Clinic/Center · NPI assigned 03/29/2006

$177K
Total Medicaid Paid
1,283
Total Claims
1,044
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialANDREWS, JILL (ADMINISTRATOR)
NPI Enumeration Date03/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 323 $24K
2019 263 $38K
2020 432 $71K
2021 265 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 290 248 $36K
43235 179 155 $30K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 127 79 $29K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 85 43 $22K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 146 128 $22K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $18K
45380 Colonoscopy, flexible; with biopsy, single or multiple 66 55 $12K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 16 13 $4K
43249 18 13 $3K
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 79 68 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 265 230 $0.00