Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Four Corners Ambulatory Surgery Center, LLC

Four Corners Ambulatory Surgery Center, LLC was paid $1.72M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 55% of everything it billed.

33Billing provider infoFOUR CORNERS AMBULATORY SURGERY CENTER, LLC
FARMINGTON, NM 87401
33aNPI1104990050assigned 11/20/2006
28Total paid$1.72M
24GClaims5,343
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in New Mexico

Rank by total paid#7 of 19
Median peer was paid$1.30M
This provider vs. median1.3×

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.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,207$393K
20191,038$380K
2020644$126K
2021938$187K
2022520$191K
2023634$300K
2024incomplete362$144K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 55% 2,353 1,950 $953K
42820 Tonsillectomy and adenoidectomy; younger than age 12 37% 431 426 $631K
64483 2.0% 98 87 $34K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.3% 36 30 $22K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1.1% 31 29 $19K
29881 1.1% 17 16 $19K
20680 <1% 20 12 $14K
64450 <1% 384 372 $13K
77077 <1% 316 290 $13K
66982 <1% 16 15 $5K
G8916 Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time 0% 12 12 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 0% 555 488 $0.00
1 more codes
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 0% 1,074 $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 officialREDWING, CHARLES (EXECUTIVE DIRECTOR)