Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MODESTO › VALLEY SURGERY CENTER AT MODESTO, LLC

VALLEY SURGERY CENTER AT MODESTO, LLC

NPI: 1235106782 · MODESTO, CA 95355 · Ambulatory Surgical Clinic/Center · NPI assigned 03/03/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code 66984 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BOON, ERIC controls 20+ related entities in our dataset. Read more

$1.24M
Total Medicaid Paid
1,819
Total Claims
1,408
Beneficiaries
3
Codes Billed
2019-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBOON, ERIC (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date03/03/2006

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
PRESBYTERIAN HOSPITAL ASC ALBUQUERQUE NM $6.22M
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
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
2019 180 $179K
2020 160 $131K
2021 573 $405K
2022 566 $414K
2023 297 $110K
2024 43 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,144 920 $1.18M
V2632 Posterior chamber intraocular lens 544 445 $62K
0490 131 43 $3K