Medicaid Provider Spending

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

PLAZA SURGICAL MEDICAL CENTER

NPI: 1699703991 · MONTEREY PARK, CA 91754 · Ambulatory Surgical Clinic/Center · NPI assigned 06/28/2006

$576K
Total Medicaid Paid
5,164
Total Claims
2,887
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialONTIVEROS, ALICIA (ADMINISTRATOR)
NPI Enumeration Date06/28/2006

Related Entities

Other providers sharing the same authorized official: ONTIVEROS, ALICIA

ProviderCityStateTotal Paid
ASSOCIATED SPORTS THERAPY MEDICAL CENTER MONTEREY PARK CA $705K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,199 $114K
2019 749 $64K
2020 279 $26K
2021 386 $38K
2022 663 $79K
2023 1,227 $167K
2024 661 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
64493 1,836 823 $447K
62323 299 270 $57K
64494 1,499 679 $34K
20553 999 869 $23K
64495 502 219 $15K
G8916 Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time 14 13 $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 15 14 $0.00