Medicaid Provider Spending

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

SOUTH BEND SPECIALTY SURGERY CENTER, LLC

NPI: 1992058325 · GRANGER, IN 46530 · Ambulatory Surgical Clinic/Center · NPI assigned 10/23/2012

$17K
Total Medicaid Paid
112
Total Claims
89
Beneficiaries
4
Codes Billed
2018-03
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLANTZ, RALPH (ADMINISTRATOR)
NPI Enumeration Date10/23/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40 $2K
2019 13 $0.00
2022 31 $7K
2024 28 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
64493 31 12 $7K
62323 28 25 $7K
31231 40 39 $2K
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 13 13 $0.00