Surgical Associates INC

Surgical Associates INC was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 46% of everything it billed.

33Billing provider infoSURGICAL ASSOCIATES INC
MODESTO, CA 95355

33aNPI1366824161assigned 06/29/2015

33bProvider typeSurgery Physician

28Total paid$1.34M

24GClaims25,043

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#25 of 437

Median peer was paid$23K

This provider vs. median58×

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.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	2,537	$110K
2019	3,112	$140K
2020	4,044	$230K
2021	4,042	$234K
2022	5,426	$331K
2023	4,234	$250K
2024incomplete	1,648	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	46%	13,629	4,112	$617K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	12%	1,388	432	$166K
99223	Prolong inpt eval add15 m	11%	1,790	1,765	$145K
99255		7.9%	1,172	1,145	$106K
99239	Hospital discharge day management, more than 30 minutes	7.4%	1,774	1,730	$99K
99356		6.7%	2,219	1,254	$89K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.7%	2,042	929	$77K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.2%	629	394	$17K
99254		<1%	145	140	$10K
47562		<1%	14	14	$5K
99253		<1%	73	71	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	129	123	$2K

3 more codes

99222	Initial hospital care, per day, moderate complexity	<1%	12	$672.12
99238	Hospital discharge day management, 30 minutes or less	<1%	15	$465.00
99213	Doctor's office visit, returning patient (routine)	<1%	12	$290.56

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 officialTAM, TONY (OWNER)