Clinic
Prescott Outpatient Surgical Center LLC
Prescott Outpatient Surgical Center LLC was paid $26K by Medicaid between May 2019 and Apr 2021, across 3 billing codes. Its largest line is 58670, — 92% of everything it billed.
33Billing provider infoPRESCOTT OUTPATIENT SURGICAL CENTER LLC
PRESCOTT, AZ 86301
PRESCOTT, AZ 86301
33aNPI1083624670assigned 08/08/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$26K
24GClaims85
24DCodes billed3
24AFirst – last monthMay 2019 – Apr 2021
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Arizona
Rank by total paid#99 of 118
Median peer was paid$267K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BOON, ERIC controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 27 | $26K | |
| 2021 | 58 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 58670 | 92% | 14 | 13 | $24K | |
| 62323 | 7.7% | 13 | 13 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 58 | 56 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBOON, ERIC (OFFICER/AUTHORIZED OFFICIAL)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.