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

Pacific Ambulatory Surgery Center LLC

Pacific Ambulatory Surgery Center LLC was paid $154K by Medicaid between Jan 2018 and May 2019, across 6 billing codes. Its largest line is 64493, — 45% of everything it billed.

33Billing provider infoPACIFIC AMBULATORY SURGERY CENTER LLC
ALHAMBRA, CA 91801
33aNPI1467459214assigned 07/07/2005
28Total paid$154K
24GClaims691
24DCodes billed6
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in California

Rank by total paid#186 of 347
Median peer was paid$191K
This provider vs. median0.8×

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

$0$10K$20K$30K2018201920202021202220232024
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
2018494$80K
2019197$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
64493 45% 296 194 $69K
62323 37% 297 296 $58K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 11% 55 52 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2.7% 14 13 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.4% 15 15 $4K
62321 <1% 14 14 $1K

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 officialTSAY, CHARLIE (MEDICAL DIRECTOR)