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

ST. Joseph's Outpatient Surgery Center, LLC

ST. Joseph's Outpatient Surgery Center, LLC was paid $14.50M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 31% of everything it billed.

33Billing provider infoST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC
PHOENIX, AZ 85013
33aNPI1306843222assigned 07/07/2005
28Total paid$14.50M
24GClaims31,669
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Arizona

Rank by total paid#1 of 118
Median peer was paid$267K
This provider vs. median54×

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.

Entity ProliferationAuthorized official BOON, ERIC controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
20185,836$2.36M
20195,455$2.39M
20203,637$1.46M
20214,267$1.62M
20224,334$2.01M
20234,359$2.41M
2024incomplete3,781$2.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
42820 Tonsillectomy and adenoidectomy; younger than age 12 31% 2,677 2,609 $4.44M
30140 25% 5,625 4,638 $3.66M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 10% 6,479 6,204 $1.49M
45380 Colonoscopy, flexible; with biopsy, single or multiple 7.9% 4,059 3,864 $1.14M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 6.9% 2,164 1,923 $995K
30520 4.8% 2,197 1,824 $691K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 3.7% 2,025 1,938 $531K
31267 3.6% 543 396 $520K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3.4% 2,316 2,190 $491K
31276 1.1% 133 112 $163K
42821 1.1% 311 282 $157K
42826 <1% 118 112 $66K
11 more codes
42830 <1% 78 $38K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 175 $35K
14301 <1% 44 $22K
69631 <1% 13 $17K
20680 <1% 18 $10K
30801 <1% 49 $9K
61782 <1% 508 $8K
30802 <1% 15 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 207 $3K
L8699 Prosthetic implant, not otherwise specified <1% 1,897 $116.22
99217 0% 18 $0.00

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

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