Medicaid Provider Spending

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

FOUNTAIN VALLEY SURGERY CENTER, LLC

NPI: 1679985857 · FOUNTAIN VALLEY, CA 92708 · Ambulatory Surgical Clinic/Center · NPI assigned 05/22/2014

$97K
Total Medicaid Paid
1,201
Total Claims
696
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialTOPP, WALTER (ADMINISTRATOR)
NPI Enumeration Date05/22/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,201 $97K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
29881 172 170 $84K
29876 13 13 $5K
64721 12 12 $4K
29879 12 12 $3K
G8916 Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time 13 12 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 227 227 $0.00
0490 718 218 $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 34 32 $0.00