Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Modesto › NPI 1801822739
Clinic

Sylvan Surgery Center, LLC

Sylvan Surgery Center, LLC was paid $388K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 40% of everything it billed.

33Billing provider infoSYLVAN SURGERY CENTER, LLC
MODESTO, CA 95355
33aNPI1801822739assigned 06/23/2006
28Total paid$388K
24GClaims1,243
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in California

Rank by total paid#143 of 347
Median peer was paid$191K
This provider vs. median2.0×

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$10K$20K$30K2018201920202021202220232024
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
2018547$166K
2019426$135K
202097$31K
202113$4K
202236$12K
202354$20K
2024incomplete70$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 40% 411 407 $153K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 38% 539 539 $148K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13% 119 119 $52K
43235 6.6% 106 106 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.2% 68 68 $9K

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.