Medicaid Provider Spending

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

PRESBYTERIAN HOSPITAL ASC

NPI: 1104468602 · ALBUQUERQUE, NM 87106 · Ambulatory Surgical Clinic/Center · NPI assigned 10/16/2019

Billing Flags · Automated signals — not evidence of fraud
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

$6.22M
Total Medicaid Paid
27,039
Total Claims
3,378
Beneficiaries
2
Codes Billed
2020-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBOON, ERIC (OFFICER/AO)
NPI Enumeration Date10/16/2019

Related Entities

Other providers sharing the same authorized official: BOON, ERIC

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,320 $404K
2021 6,334 $1.36M
2022 4,958 $1.89M
2023 7,320 $1.66M
2024 6,107 $906K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 27,000 3,351 $6.16M
58661 39 27 $66K