Medicaid Provider Spending

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

FOUR SEASONS SURGERY CENTERS OF ONTARIO, LP

NPI: 1215019625 · ONTARIO, CA 91762 · Ambulatory Surgical Clinic/Center · NPI assigned 10/19/2006

$510K
Total Medicaid Paid
6,552
Total Claims
4,588
Beneficiaries
19
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialLOOTENS, NEISHA (CONTRACTING MANAGER)
NPI Enumeration Date10/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,552 $510K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0360 1,363 1,050 $130K
64493 368 211 $57K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 244 227 $52K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 144 135 $43K
27096 90 60 $34K
64494 337 197 $28K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 202 170 $28K
64495 330 196 $27K
64490 140 80 $24K
99152 810 513 $24K
64492 224 74 $22K
0710 1,365 1,050 $22K
64491 119 74 $12K
99153 Mod sedat endo service >5yrs 510 336 $4K
20610 84 44 $2K
77002 73 49 $1K
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 31 27 $0.00
99144 87 68 $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 31 27 $0.00