Clinic
Forest Canyon Endoscopy & Surgery CTR PC
Forest Canyon Endoscopy & Surgery CTR PC was paid $1.22M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 33% of everything it billed.
33Billing provider infoFOREST CANYON ENDOSCOPY & SURGERY CTR PC
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
33aNPI1679566582assigned 08/25/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.22M
24GClaims3,920
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Arizona
Rank by total paid#22 of 118
Median peer was paid$267K
This provider vs. median4.5×
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 | 853 | $265K | |
| 2019 | 565 | $214K | |
| 2020 | 610 | $144K | |
| 2021 | 807 | $182K | |
| 2022 | 507 | $126K | |
| 2023 | 509 | $177K | |
| 2024incomplete | 69 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 33% | 252 | 245 | $401K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 29% | 1,791 | 1,699 | $348K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 18% | 866 | 779 | $216K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 14% | 676 | 601 | $166K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.3% | 160 | 132 | $65K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.1% | 57 | 57 | $13K |
| 43235 | <1% | 27 | 26 | $6K | |
| J2704 | Injection, propofol, 10 mg | 0% | 38 | 38 | $0.00 |
| A4649 | Surgical supply; miscellaneous | 0% | 16 | 12 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 24 | 24 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 13 | 13 | $0.00 |
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 officialFORDYCE, TRICIA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Elevated Anesthesia LLC | Flagstaff, AZ | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.