Medicaid Provider Spending

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

SURGICARE OF LA VETA LTD

NPI: 1033177373 · ORANGE, CA 92868 · Ambulatory Surgical Clinic/Center · NPI assigned 05/03/2006

$858K
Total Medicaid Paid
12,096
Total Claims
7,214
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOSSANENENZADEH, JASMINE (CEO)
NPI Enumeration Date05/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 966 $131K
2019 1,558 $67K
2020 1,611 $42K
2021 2,424 $72K
2022 2,917 $105K
2023 1,756 $88K
2024 864 $352K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,041 971 $287K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 843 836 $163K
45380 Colonoscopy, flexible; with biopsy, single or multiple 368 368 $162K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 215 215 $102K
29881 155 154 $87K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 114 114 $24K
67039 12 12 $13K
30520 37 37 $13K
A4649 Surgical supply; miscellaneous 6,194 2,734 $2K
L8699 Prosthetic implant, not otherwise specified 1,889 703 $1K
64415 46 45 $826.23
64447 49 48 $801.48
V2632 Posterior chamber intraocular lens 319 306 $652.76
30802 14 13 $535.64
76942 429 409 $42.76
41899 Unlisted procedure, dentoalveolar structures 16 16 $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 99 96 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 104 55 $0.00
0490 152 82 $0.00