PRESBYTERIAN RUST MEDICAL CENTER ASC LLC

NPI: 1487246229 · RIO RANCHO, NM 87124 · Ambulatory Surgical Clinic/Center · NPI assigned 02/03/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$1.82M

Total Medicaid Paid

10,067

Total Claims

1,965

Beneficiaries

Codes Billed

2022-02

First Month

2024-09

Last Month

Provider Details

Authorized Official	BOON, ERIC (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date	02/03/2021

Other providers sharing the same authorized official: BOON, ERIC

Provider	City	State	Total Paid
ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC	PHOENIX	AZ	$14.50M
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

Code	Description	Claims	Beneficiaries	Total Paid
41899	Unlisted procedure, dentoalveolar structures	8,685	945	$1.36M
64635		477	442	$253K
64493		520	316	$128K
42820	Tonsillectomy and adenoidectomy; younger than age 12	19	19	$48K
64490		67	39	$18K
62323		79	79	$16K
64494		81	49	$2K
64495		77	46	$2K
64636		62	30	$1K