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

Valley Surgery Center at Modesto, LLC

Valley Surgery Center at Modesto, LLC was paid $1.24M by Medicaid between Jan 2019 and Jul 2024, across 3 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 95% of everything it billed.

33Billing provider infoVALLEY SURGERY CENTER AT MODESTO, LLC
MODESTO, CA 95355
33aNPI1235106782assigned 03/03/2006
28Total paid$1.24M
24GClaims1,819
24DCodes billed3
24AFirst – last monthJan 2019 – Jul 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in California

Rank by total paid#89 of 347
Median peer was paid$191K
This provider vs. median6.5×

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 Concentration95% of spending on code 66984 with only 3 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official BOON, ERIC controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
2019180$179K
2020160$131K
2021573$405K
2022566$414K
2023297$110K
2024incomplete43$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 95% 1,144 920 $1.18M
V2632 Posterior chamber intraocular lens 5.0% 544 445 $62K
0490 <1% 131 43 $3K

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)
Same official

Other billing entities under BOON, ERIC

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.