Medicaid Provider Spending

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

EYE SURGERY CENTERS OF NEW MEXICO, LLC

NPI: 1255373676 · SANTA FE, NM 87505 · Ambulatory Surgical Clinic/Center · NPI assigned 06/11/2006

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

100% of spending on code 66984 with only 3 total codes billed. Highly concentrated billing profile.

$1.35M
Total Medicaid Paid
3,995
Total Claims
3,731
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialYOUNG, JANICE (CFO)
NPI Enumeration Date06/11/2006

Related Entities

Other providers sharing the same authorized official: YOUNG, JANICE

ProviderCityStateTotal Paid
ALBUQUERQUE AMBULATORY EYE SURGERY CENTER, LLC ALBUQUERQUE NM $4.79M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 740 $196K
2019 706 $182K
2020 522 $141K
2021 671 $200K
2022 445 $222K
2023 418 $218K
2024 493 $194K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 2,734 2,550 $1.35M
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 630 590 $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 631 591 $0.00