Medicaid Provider Spending

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

ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC

NPI: 1306843222 · PHOENIX, AZ 85013 · Ambulatory Surgical Clinic/Center · NPI assigned 07/07/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$14.50M
Total Medicaid Paid
31,669
Total Claims
28,583
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOON, ERIC (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date07/07/2005

Related Entities

Other providers sharing the same authorized official: BOON, ERIC

ProviderCityStateTotal Paid
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
NORTH STATE SURGERY CENTERS LP REDDING CA $1.02M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,836 $2.36M
2019 5,455 $2.39M
2020 3,637 $1.46M
2021 4,267 $1.62M
2022 4,334 $2.01M
2023 4,359 $2.41M
2024 3,781 $2.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
42820 Tonsillectomy and adenoidectomy; younger than age 12 2,677 2,609 $4.44M
30140 5,625 4,638 $3.66M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6,479 6,204 $1.49M
45380 Colonoscopy, flexible; with biopsy, single or multiple 4,059 3,864 $1.14M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,164 1,923 $995K
30520 2,197 1,824 $691K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,025 1,938 $531K
31267 543 396 $520K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,316 2,190 $491K
31276 133 112 $163K
42821 311 282 $157K
42826 118 112 $66K
42830 78 59 $38K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 175 155 $35K
14301 44 25 $22K
69631 13 12 $17K
20680 18 12 $10K
30801 49 48 $9K
61782 508 380 $8K
30802 15 13 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 207 173 $3K
L8699 Prosthetic implant, not otherwise specified 1,897 1,600 $116.22
99217 18 14 $0.00