Banner Mesa Surgery Center LLC

Banner Mesa Surgery Center LLC was paid $2.80M by Medicaid between Apr 2019 and Dec 2024, across 14 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 50% of everything it billed.

33Billing provider infoBANNER MESA SURGERY CENTER LLC
MESA, AZ 85202

33aNPI1780109934assigned 08/09/2017

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$2.80M

24GClaims5,272

24DCodes billed14

24AFirst – last monthApr 2019 – Dec 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Arizona

Rank by total paid#11 of 118

Median peer was paid$267K

This provider vs. median10×

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 COX, MATTHEW controls 20+ related entities in our dataset. Read more

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
2019	169	$55K
2020	403	$103K
2021	1,168	$252K
2022	1,357	$581K
2023	1,153	$916K
2024incomplete	1,022	$892K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
42820	Tonsillectomy and adenoidectomy; younger than age 12	50%	839	829	$1.41M
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	14%	1,061	853	$380K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	13%	1,674	1,610	$367K
30140		8.5%	482	350	$237K
45380	Colonoscopy, flexible; with biopsy, single or multiple	8.3%	778	730	$231K
54360		3.2%	84	82	$89K
42830		1.0%	41	41	$29K
29848		<1%	44	38	$14K
64721		<1%	26	26	$12K
54161		<1%	21	21	$11K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	16	14	$7K
30520		<1%	12	12	$6K

2 more codes

64483		<1%	15	$6K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	<1%	179	$4K

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 officialCOX, MATTHEW (SR VP FINANCE)

Parent organizationBANNER HEALTH

Same official

Other billing entities under COX, MATTHEW

Full network →

Provider	Location	Paid
Spectrum Health Hospitals	Grand Rapids, MI	$243.22M
Oakwood Healthcare, INC.	Dearborn, MI	$165.61M
William Beaumont Hospital	Royal Oak, MI	$162.64M
William Beaumont Hospital	Troy, MI	$84.88M
Lakeland Hospitals at Niles and ST Joseph, INC	Saint Joseph, MI	$78.22M
Botsford General Hospital	Farmington Hills, MI	$72.21M
William Beaumont Hospital	Grosse Pointe, MI	$61.49M
Oakwood Healthcare, INC.	Wayne, MI	$55.44M
Oakwood Healthcare, INC.	Taylor, MI	$50.28M
Oakwood Healthcare, INC.	Trenton, MI	$23.26M
Spectrum Health United	Greenville, MI	$20.99M
Mecosta County Medical Center	Big Rapids, MI	$19.50M
Pennock Hospital	Hastings, MI	$15.24M
Reed City Hospital Corporation	Reed City, MI	$15.02M
Zeeland Community Hospital	Zeeland, MI	$10.12M
Lakeland Community Hospital Watervliet	Watervliet, MI	$9.85M
Lakeland Community Hospital Watervliet	Niles, MI	$9.05M
Visiting Nurse Services of Western Michigan	Grand Rapids, MI	$4.54M
Lakeland Hospitals at Niles and ST Joseph, INC	Benton Harbor, MI	$3.33M
Lakeland Community Hospital Watervliet	Watervliet, MI	$2.55M

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