Clinic
Presbyterian Hospital Asc
Presbyterian Hospital Asc was paid $6.22M by Medicaid between Jul 2020 and Oct 2024, across 2 billing codes.
Its largest line is 41899 , Unlisted procedure, dentoalveolar structures — 99% of everything it billed.
33 Billing provider infoPRESBYTERIAN HOSPITAL ASC
33a NPI1104468602 assigned 10/16/2019
28 Total paid$6.22M
24G Claims27,039
24D Codes billed2
24A First – last monthJul 2020 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in New Mexico
Rank by total paid #2 of 19
Median peer was paid $1.30M
This provider vs. median 4.8×
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 .
Single-Code Concentration 99% of spending on code 41899 with only 2 total codes billed. Highly concentrated billing profile.
Entity Proliferation Authorized official BOON, ERIC controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $100K $200K $300K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2020 2,320 $404K 2021 6,334 $1.36M 2022 4,958 $1.89M 2023 7,320 $1.66M 2024incomplete 6,107 $906K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
41899 Unlisted procedure, dentoalveolar structures
99% 27,000
3,351
$6.16M
58661 1.1% 39
27
$66K
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
Provider Location Paid
ST. Joseph's Outpatient Surgery Center, LLC Phoenix, AZ $14.50M Surgery Center of Peoria, LLC Peoria, AZ $7.00M New Mexico Orthopaedic Surgery Center, LLC Albuquerque, NM $5.07M ST. Joseph's Surgery Center LP Stockton, CA $4.69M Surgical Elite of Avondale, LLC Avondale, AZ $4.40M Med-Laser Surgical Center LLC Montebello, CA $4.29M Merced Ambulatory Surgery Center, LLC Merced, CA $4.12M Camp Lowell Surgery Center,llc Tucson, AZ $3.59M Surgery Center of Scottsdale LLC Glendale, AZ $3.50M Tucson Digestive Institute LLC Tucson, AZ $2.53M Center for Endoscopy LLC Oceanside, CA $2.15M Pacific Endoscopy Center, LLC Pearl City, HI $2.00M Surgery Center of Scottsdale, LLC Gilbert, AZ $1.92M Grass Valley Outpatient Surgery Center LP Grass Valley, CA $1.63M Valley Surgery Center at Modesto, LLC Modesto, CA $1.24M Gastroenterology Associates, LLC Olympia, WA $1.23M San Martin Surgery Center LLC Las Vegas, NV $1.17M Physicians Surgery Center of Modesto LLC Modesto, CA $1.13M Orthopedic and Surgical Specialty Company, LLC Phoenix, AZ $1.12M North State Surgery Centers LP Redding, CA $1.02M
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.