SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL, LLC

NPI: 1275847105 · PHOENIX, AZ 85008 · Special Hospital · NPI assigned 08/03/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$33.60

Total Medicaid Paid

1,970

Total Claims

1,145

Beneficiaries

Codes Billed

2022-02

First Month

2024-04

Last Month

Provider Details

Authorized Official	BOON, ERIC (AUTHORIZED OFFICIAL)
NPI Enumeration Date	08/03/2010

Other providers sharing the same authorized official: BOON, ERIC

Provider	City	State	Total 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
VALLEY SURGERY CENTER AT MODESTO, LLC	MODESTO	CA	$1.24M
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

Code	Description	Claims	Beneficiaries	Total Paid
C1776	Joint device (implantable)	30	27	$29.35
80048	Basic metabolic panel (calcium, ionized)	224	151	$4.25
97161		109	101	$0.00
97116		51	37	$0.00
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	32	12	$0.00
J8499	Prescription drug, oral, non chemotherapeutic, nos	34	13	$0.00
J2405	Injection, ondansetron hydrochloride, per 1 mg	63	44	$0.00
J7120	Ringers lactate infusion, up to 1000 cc	29	15	$0.00
85025	Blood count; complete (CBC), automated, and automated differential WBC count	228	154	$0.00
94010		30	27	$0.00
G0378	Hospital observation service, per hour	252	146	$0.00
J2250	Injection, midazolam hydrochloride, per 1 mg	44	41	$0.00
J1100	Injection, dexamethasone sodium phosphate, 1 mg	35	27	$0.00
J1885	Injection, ketorolac tromethamine, per 15 mg	26	14	$0.00
J3010	Injection, fentanyl citrate, 0.1 mg	52	40	$0.00
J2704	Injection, propofol, 10 mg	48	42	$0.00
J3490	Unclassified drugs	321	67	$0.00
94760		303	144	$0.00
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	19	17	$0.00
J0690	Injection, cefazolin sodium, 500 mg	24	14	$0.00
J1170	Injection, hydromorphone, up to 4 mg	16	12	$0.00