Medicaid Provider Spending

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

OTAY LAKES SURGERY CENTER, LLC

NPI: 1376595421 · CHULA VISTA, CA 91914 · Ambulatory Surgical Clinic/Center · NPI assigned 05/17/2006

$194K
Total Medicaid Paid
528
Total Claims
512
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKURTH, GARY (VP OPERATIONS AND ADMINISTRATION)
NPI Enumeration Date05/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 206 $69K
2019 248 $98K
2020 54 $19K
2024 20 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 227 227 $78K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 128 120 $49K
45380 Colonoscopy, flexible; with biopsy, single or multiple 88 88 $30K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 65 65 $29K
64483 20 12 $8K