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

Physicians Surgery Center of Modesto LLC

Physicians Surgery Center of Modesto LLC was paid $1.13M by Medicaid between Nov 2020 and Aug 2022, across 2 billing codes. Its largest line is L8699, Prosthetic implant, not otherwise specified — 75% of everything it billed.

33Billing provider infoPHYSICIANS SURGERY CENTER OF MODESTO LLC
MODESTO, CA 95350
33aNPI1538280284assigned 04/02/2007
28Total paid$1.13M
24GClaims520
24DCodes billed2
24AFirst – last monthNov 2020 – Aug 2022
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in California

Rank by total paid#91 of 347
Median peer was paid$191K
This provider vs. median5.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BOON, ERIC controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
202016$31K
2021265$455K
2022239$650K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L8699 Prosthetic implant, not otherwise specified 75% 490 337 $851K
27447 25% 30 29 $284K

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 officialBOON, ERIC (MARKET PRESIDENT)
Same official

Other billing entities under BOON, ERIC

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.